Provider Demographics
NPI:1932751146
Name:HOBSON, EDIS
Entity Type:Individual
Prefix:
First Name:EDIS
Middle Name:
Last Name:HOBSON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8323 SOUTHWEST FWY STE 470
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-1636
Mailing Address - Country:US
Mailing Address - Phone:281-687-7039
Mailing Address - Fax:
Practice Address - Street 1:8323 SOUTHWEST FWY STE 470
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1636
Practice Address - Country:US
Practice Address - Phone:281-687-7039
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-09
Last Update Date:2019-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246XS1301XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularSonography