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NPI Code Detail

MEDICARE: DR. THERESE ANNE HOFFMAN PHARMD

MEDICARE: DR. THERESE ANNE HOFFMAN PHARMD
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
1183500000XPharmacist32089TX

General Provider Information

NPI Number : 1346244894
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THERESE ANNE HOFFMAN PHARMD
Provider Business Mailing Address
First Line : 5007 JASON ST
Second Line :
City : HOUSTON
State : TX
Zip : 77096-2719
Country : US
Telephone Number : 281-630-6214
Fax Number :
Provider Business Practice Location Address
First Line : 1615 N MAIN ST
Second Line :
City : HOUSTON
State : TX
Zip : 77009-8525
Country : US
Telephone Number : 713-634-1515
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2005
Last Update Date : 06/11/2012

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