Provider Demographics
NPI:1720153448
Name:HOFFMANN, PATTY (RD, LD)
Entity Type:Individual
Prefix:MRS
First Name:PATTY
Middle Name:
Last Name:HOFFMANN
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:MRS
Other - First Name:PATRICIA
Other - Middle Name:MEANS
Other - Last Name:HOFFMANN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:378 RIDGE COUNTRY
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78132-4437
Mailing Address - Country:US
Mailing Address - Phone:830-964-5383
Mailing Address - Fax:830-964-5387
Practice Address - Street 1:378 RIDGE COUNTRY
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78132-4437
Practice Address - Country:US
Practice Address - Phone:830-964-5383
Practice Address - Fax:830-964-5387
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT04327133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered