Provider Demographics
NPI:1861525412
Name:HOFFMAN, ROBERT L
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:L
Last Name:HOFFMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4635 SOUTHWEST FWY
Mailing Address - Street 2:SUITE 700
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-7169
Mailing Address - Country:US
Mailing Address - Phone:713-877-0697
Mailing Address - Fax:713-623-8380
Practice Address - Street 1:226 FLUOR DANIEL DR
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-4073
Practice Address - Country:US
Practice Address - Phone:281-242-2040
Practice Address - Fax:281-242-2044
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX200071223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1564486-03Medicaid
TX1564486-05Medicaid
TX1564486-01Medicaid
TX1564486-04Medicaid
TX1564486-02Medicaid