Provider Demographics
NPI:1003960964
Name:HOFFPAUIR, JOAN THERESA (MD)
Entity Type:Individual
Prefix:
First Name:JOAN
Middle Name:THERESA
Last Name:HOFFPAUIR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JOAN
Other - Middle Name:THERESA
Other - Last Name:DAUNIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 73309
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70033-3309
Mailing Address - Country:US
Mailing Address - Phone:504-883-4800
Mailing Address - Fax:504-883-5554
Practice Address - Street 1:4648 I 10 SERVICE ROAD
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70001
Practice Address - Country:US
Practice Address - Phone:504-883-4800
Practice Address - Fax:504-883-5554
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA10381R207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1480045Medicaid
G48930Medicare UPIN
5H360Medicare ID - Type Unspecified