Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | 12987 | TX |
NPI | 1255798328 |
---|---|
Provider Name | Dr. Lindsay Hoffman |
First Address | Roanoke, TX 76262-6504 |
Second Address | Keller, TX 76248-3762 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/01/2016 |
Last Update Date | 20/01/2016 |