Provider Demographics
NPI:1255506010
Name:BRIAN L. HOCHSTEIN DDS., PA
Entity type:Organization
Organization Name:BRIAN L. HOCHSTEIN DDS., PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:GUZMAN
Authorized Official - Last Name:MALDONADO
Authorized Official - Suffix:
Authorized Official - Credentials:RDA
Authorized Official - Phone:972-881-0715
Mailing Address - Street 1:120 E. FM ROAD 544
Mailing Address - Street 2:SUITE 78
Mailing Address - City:MURPHY
Mailing Address - State:TX
Mailing Address - Zip Code:75094
Mailing Address - Country:US
Mailing Address - Phone:972-881-0715
Mailing Address - Fax:972-881-8521
Practice Address - Street 1:120 E. FM ROAD 544
Practice Address - Street 2:SUITE 78
Practice Address - City:MURPHY
Practice Address - State:TX
Practice Address - Zip Code:75094
Practice Address - Country:US
Practice Address - Phone:972-881-0715
Practice Address - Fax:972-881-8521
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-23
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX169681223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX753280OtherUNITED CONCORDIA
TX84D141OtherBLUECROSS BLUESHIELD
TXU50410OtherUPIN