Provider Demographics
NPI:1740300649
Name:HOFER, MATTHIAS DOMINIKUS (MD)
Entity type:Individual
Prefix:DR
First Name:MATTHIAS
Middle Name:DOMINIKUS
Last Name:HOFER
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7909 FREDERICKSBURG RD STE 110
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3400
Mailing Address - Country:US
Mailing Address - Phone:210-614-4544
Mailing Address - Fax:
Practice Address - Street 1:7909 FREDERICKSBURG RD STE 227
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3403
Practice Address - Country:US
Practice Address - Phone:210-144-5446
Practice Address - Fax:210-679-3719
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA227833207ZP0102X
IL036.12355208800000X
TXQ3524208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
No207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology