Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | AP143742 | TX |
NPI | 1023653201 |
---|---|
Provider Name | Meghan Hoffmann |
First Address | Flower Mound, TX 75022-5906 |
Second Address | Flower Mound, TX 75022-5906 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/11/2019 |
Last Update Date | 12/11/2019 |