Provider Demographics
NPI:1003324310
Name:HOBEN NEURO GROUP LLC
Entity type:Organization
Organization Name:HOBEN NEURO GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JONAS
Authorized Official - Middle Name:
Authorized Official - Last Name:KONAN
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:832-647-1910
Mailing Address - Street 1:PO BOX 3535
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77305-3535
Mailing Address - Country:US
Mailing Address - Phone:936-499-1569
Mailing Address - Fax:832-442-4554
Practice Address - Street 1:1111 MEDICAL PLAZA DR
Practice Address - Street 2:
Practice Address - City:SHENANDOAH
Practice Address - State:TX
Practice Address - Zip Code:77380-3476
Practice Address - Country:US
Practice Address - Phone:936-499-1569
Practice Address - Fax:832-442-4554
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-21
Last Update Date:2018-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Single Specialty