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NPI Code Detail

MEDICARE: MATT HOFFMAN DNP, APRN, FNP-C

MEDICARE: MATT HOFFMAN DNP, APRN, FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAP131502TX

General Provider Information

NPI Number : 1124471610
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATT HOFFMAN DNP, APRN, FNP-C
Provider Business Mailing Address
First Line : 207 SULPHUR SPRINGS RD
Second Line : OFC 1
City : BRYAN
State : TX
Zip : 77801-3134
Country : US
Telephone Number : 979-446-4992
Fax Number :
Provider Business Practice Location Address
First Line : 207 SULPHUR SPRINGS RD
Second Line : OFC 1
City : BRYAN
State : TX
Zip : 77801-3134
Country : US
Telephone Number : 979-446-4992
Fax Number : 979-485-9524
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2016
Last Update Date : 06/18/2019

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