Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | D2457 | TX |
N | 207K00000X | Allergist & Immunologist | G130032 | CA |
NPI | 1154324069 |
---|---|
Provider Name | Dr. Leonard S. Hoffman |
First Address | Houston, TX 77074-1424 |
Second Address | Houston, TX 77024-2420 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2005 |
Last Update Date | 26/12/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
030004680 | R.R. MEDICARE (01) | TX |
0799942 | AETNA HMO (01) | TX |
134125702 | (05) | TX |
2316996 | BLUE LINK (01) | TX |
2886436003 | CIGNA (01) | TX |
4010496 | AETNA PPO (01) | TX |
C16996 | (02) | TX |