Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 760509654 | TX |
NPI | 1053321539 |
---|---|
Provider Name | Robert C. Hood |
First Address | Beaumont, TX 77702-1433 |
Second Address | Beaumont, TX 77702-1433 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/08/2006 |
Last Update Date | 07/07/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
130366102 | (05) | TX |
460001316 | MEDICARE RAILROAD (01) | TX |
86Z811 | BLUE CROSS & BLUE SHIELD (01) | TX |
D49704 | (02) |