Provider Demographics
NPI:1811205289
Name:HOVERSON, ERIC KARSTEN (RNFA)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:KARSTEN
Last Name:HOVERSON
Suffix:
Gender:M
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 E WHITESTONE BLVD # 295
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-9006
Mailing Address - Country:US
Mailing Address - Phone:512-551-8197
Mailing Address - Fax:
Practice Address - Street 1:500 E WHITESTONE BLVD # 295
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-9006
Practice Address - Country:US
Practice Address - Phone:512-551-8197
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-20
Last Update Date:2018-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX743939163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant