Provider Demographics
NPI:1780087114
Name:HOFFMAN, BRET (DC)
Entity type:Individual
Prefix:
First Name:BRET
Middle Name:
Last Name:HOFFMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21820 KINGSLAND BLVD
Mailing Address - Street 2:101B
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-2508
Mailing Address - Country:US
Mailing Address - Phone:806-202-5516
Mailing Address - Fax:
Practice Address - Street 1:21820 KINGSLAND BLVD
Practice Address - Street 2:101B
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-2508
Practice Address - Country:US
Practice Address - Phone:806-202-5516
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-30
Last Update Date:2015-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12756111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor