Provider Demographics
NPI:1861641003
Name:DAVID W. HOBSON, MD, PA
Entity Type:Organization
Organization Name:DAVID W. HOBSON, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:W
Authorized Official - Last Name:HOBSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-793-3840
Mailing Address - Street 1:1314 GRAND RIVER DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-1891
Mailing Address - Country:US
Mailing Address - Phone:281-793-3840
Mailing Address - Fax:
Practice Address - Street 1:1314 GRAND RIVER DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-1891
Practice Address - Country:US
Practice Address - Phone:281-793-3840
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-11
Last Update Date:2017-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG0909207QB0002X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
No207QB0002XAllopathic & Osteopathic PhysiciansFamily MedicineObesity MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00D69EOtherBLUE CROSS BLUE SHIELD
TX097905601Medicaid
TX00Z721OtherMEDICARE PTAN
TX00Z721OtherMEDICARE PTAN