Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | SL1140 | NV |
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | S9314 | TX |
NPI | 1396193447 |
---|---|
Provider Name | Mr. Jason Thomas Hoffman JR. |
First Address | Boerne, TX 78006-3490 |
Second Address | Boerne, TX 78006-3490 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2016 |
Last Update Date | 06/07/2021 |