Provider Demographics
NPI:1043006422
Name:BOOKMAN, HERSHANBER N
Entity type:Individual
Prefix:
First Name:HERSHANBER
Middle Name:N
Last Name:BOOKMAN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7782 BOOKMAN LN
Mailing Address - Street 2:
Mailing Address - City:RICHARDS
Mailing Address - State:TX
Mailing Address - Zip Code:77873-4032
Mailing Address - Country:US
Mailing Address - Phone:979-218-0406
Mailing Address - Fax:
Practice Address - Street 1:3841 SAGEBRIAR DR
Practice Address - Street 2:
Practice Address - City:BRYAN
Practice Address - State:TX
Practice Address - Zip Code:77802-6107
Practice Address - Country:US
Practice Address - Phone:979-210-7253
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-15
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician