Provider Demographics
NPI:1275881575
Name:HOOKS, ROY BOLDEN JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROY
Middle Name:BOLDEN
Last Name:HOOKS
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 MOONLIT RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77375-4470
Mailing Address - Country:US
Mailing Address - Phone:323-896-7133
Mailing Address - Fax:
Practice Address - Street 1:3401 ROYAL VISTA BLVD STE A100
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681
Practice Address - Country:US
Practice Address - Phone:909-357-0869
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-17
Last Update Date:2020-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA621221223G0001X
TX342651223D0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223D0004XDental ProvidersDentistDentist Anesthesiologist
No1223G0001XDental ProvidersDentistGeneral Practice