Provider Demographics
NPI:1902508906
Name:HOFFMAN, BREANN (DC)
Entity Type:Individual
Prefix:
First Name:BREANN
Middle Name:
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1235 S MAIN ST STE 120
Mailing Address - Street 2:
Mailing Address - City:GRAPEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:76051-7545
Mailing Address - Country:US
Mailing Address - Phone:817-751-1999
Mailing Address - Fax:
Practice Address - Street 1:1235 S MAIN ST STE 120
Practice Address - Street 2:
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051-7545
Practice Address - Country:US
Practice Address - Phone:817-751-1999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-21
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15457111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor