Provider Demographics
NPI:1114926599
Name:HOFFMAN, GEORGE SAMUEL (MD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:SAMUEL
Last Name:HOFFMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:755 NORTH 11TH STREET
Mailing Address - Street 2:SUITE P3200
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77702
Mailing Address - Country:US
Mailing Address - Phone:409-899-4111
Mailing Address - Fax:409-899-5670
Practice Address - Street 1:755 NORTH 11TH STREET
Practice Address - Street 2:SUITE P3200
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77702
Practice Address - Country:US
Practice Address - Phone:409-899-4111
Practice Address - Fax:409-899-5670
Is Sole Proprietor?:No
Enumeration Date:2005-07-19
Last Update Date:2012-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF4089208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
C16997Medicare UPIN