Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 42821 | TN |
N | 208600000X | Surgeon | 42821 | TN |
N | 208200000X | Surgeon | ME91531 | FL |
N | 208600000X | Surgeon | ME91531 | FL |
Y | 2086X0206X | Surgical Oncologist | K2717 | TX |
NPI | 1407871221 |
---|---|
Provider Name | Susan Jane Hoover |
First Address | Katy, TX 77494-1748 |
Second Address | Houston, TX 77030-4000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2006 |
Last Update Date | 12/10/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
271032300 | (05) | FL |
50740 | BLUE CROSS BLUE SHIELD (01) | FL |
H46102 | (02) | FL |