Provider Demographics
NPI:1700963857
Name:HOOKER, HENRY C (MD)
Entity Type:Individual
Prefix:DR
First Name:HENRY
Middle Name:C
Last Name:HOOKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:988 OAK RIDGE TPKE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:OAK RIDGE
Mailing Address - State:TN
Mailing Address - Zip Code:37830-6930
Mailing Address - Country:US
Mailing Address - Phone:865-481-0333
Mailing Address - Fax:865-482-9614
Practice Address - Street 1:988 OAK RIDGE TPKE
Practice Address - Street 2:SUITE 300
Practice Address - City:OAK RIDGE
Practice Address - State:TN
Practice Address - Zip Code:37830-6930
Practice Address - Country:US
Practice Address - Phone:865-481-0333
Practice Address - Fax:865-482-9614
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2016-02-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN315432084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ015523Medicaid
TN3734041Medicare UPIN
TNQ015523Medicaid
TN103I133772Medicare PIN
MI0H16040023Medicare PIN