Provider Demographics
NPI:1205232261
Name:LENNHOFF, MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:
Last Name:LENNHOFF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:MIGUEL
Other - Middle Name:
Other - Last Name:LENNHOFF
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:306 OAK PARK DR
Mailing Address - Street 2:
Mailing Address - City:BOERNE
Mailing Address - State:TX
Mailing Address - Zip Code:78006-2923
Mailing Address - Country:US
Mailing Address - Phone:210-782-8071
Mailing Address - Fax:
Practice Address - Street 1:306 OAK PARK DR
Practice Address - Street 2:
Practice Address - City:BOERNE
Practice Address - State:TX
Practice Address - Zip Code:78006-2923
Practice Address - Country:US
Practice Address - Phone:210-782-8071
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-18
Last Update Date:2024-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE44802084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXE4480OtherTEXAS LICENSURE
TXL0023799OtherTX CONTROLLED SUBSTANCE
TXL0023799OtherTX CONTROLLED SUBSTANCE
TXE4480OtherTEXAS LICENSURE