Provider Demographics
NPI:1891782355
Name:HOFFMAN, MYRA DAWN (DC, FICPA)
Entity Type:Individual
Prefix:DR
First Name:MYRA
Middle Name:DAWN
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:DC, FICPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8731 SHOAL CREEK BLVD
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78757-6858
Mailing Address - Country:US
Mailing Address - Phone:512-346-5164
Mailing Address - Fax:512-323-5166
Practice Address - Street 1:8731 SHOAL CREEK BLVD
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78757-6858
Practice Address - Country:US
Practice Address - Phone:512-346-5164
Practice Address - Fax:512-323-5166
Is Sole Proprietor?:No
Enumeration Date:2005-09-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8407111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor