Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | K3908 | TX |
NPI | 1487745865 |
---|---|
Provider Name | Dr. John Bret Hood |
First Address | San Antonio, TX 78229-3539 |
Second Address | San Antonio, TX 78229-3539 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/09/2006 |
Last Update Date | 03/04/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H11367 | (02) | TX |