MEDICARE: C. ABIGAIL HOFFMAN RN

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
1	163WL0100X	Lactation Consultant (Registered Nurse)	687566	TX

General Provider Information

NPI Number	:	1336001874
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	C. ABIGAIL HOFFMAN RN

Provider Business Mailing Address
First Line	:	1436 SAN SABA DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75218-3551
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1436 SAN SABA DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75218-3551
Country	:	US
Telephone Number	:	713-825-7232
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/02/2025
Last Update Date	:	12/10/2025

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