Provider Demographics
NPI:1679561021
Name:HOFFMAN, ROBERT D (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:D
Last Name:HOFFMAN
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 1:10740 N GESSNER DR
Mailing Address - Street 2:STE 310
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77064-1240
Mailing Address - Country:US
Mailing Address - Phone:281-897-0416
Mailing Address - Fax:281-890-8908
Practice Address - Street 1:18648 MCKAY DR
Practice Address - Street 2:STE 120
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-4263
Practice Address - Country:US
Practice Address - Phone:281-548-2626
Practice Address - Fax:281-548-1659
Is Sole Proprietor?:No
Enumeration Date:2005-10-10
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH9996207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX233156OtherBEECHSTREET
TX134399805Medicaid
TX040012244Medicare PIN
TX85458BMedicare PIN
TXF39524Medicare UPIN
TX134399805Medicaid