Provider Demographics
NPI:1386086163
Name:HOFF, NICOLE (DMS, PA-C)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:
Last Name:HOFF
Suffix:
Gender:F
Credentials:DMS, PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18640 FM 1488 RD STE A-136
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:TX
Mailing Address - Zip Code:77354-8516
Mailing Address - Country:US
Mailing Address - Phone:832-861-0615
Mailing Address - Fax:832-234-2163
Practice Address - Street 1:18640 FM 1488 RD STE A-136
Practice Address - Street 2:
Practice Address - City:MAGNOLIA
Practice Address - State:TX
Practice Address - Zip Code:77354-8516
Practice Address - Country:US
Practice Address - Phone:832-861-0615
Practice Address - Fax:832-234-2163
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-23
Last Update Date:2025-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX363A00000X, 390200000X, 390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant