Provider Demographics
NPI:1598833592
Name:HOYT, CHRISTOPHER H (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:H
Last Name:HOYT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:919 HIDDEN RDG
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75038-3813
Mailing Address - Country:US
Mailing Address - Phone:469-282-2711
Mailing Address - Fax:469-282-0996
Practice Address - Street 1:2014 S WHEELER ST
Practice Address - Street 2:STE 170
Practice Address - City:JASPER
Practice Address - State:TX
Practice Address - Zip Code:75951-5624
Practice Address - Country:US
Practice Address - Phone:409-384-1882
Practice Address - Fax:409-383-0973
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2021-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01056839A208600000X
TXQ3201208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP02601507OtherMCRR
TX345127001Medicaid
TX1K0573OtherMEDICARE
TX345127002Medicaid