Provider Demographics
NPI:1144249509
Name:HOFFMAN, PAUL S (PA-C)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:S
Last Name:HOFFMAN
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7601 W SAM HOUSTON PKWY S STE 400
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77072-5260
Mailing Address - Country:US
Mailing Address - Phone:713-981-6588
Mailing Address - Fax:713-981-8978
Practice Address - Street 1:7601 W SAM HOUSTON PKWY S STE 400
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-5260
Practice Address - Country:US
Practice Address - Phone:713-981-6588
Practice Address - Fax:713-981-8978
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0110002273363A00000X
TXPA00547363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA014463B66Medicare PIN