Provider Demographics
NPI:1982894473
Name:HOOVER, DAVID W (DC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:W
Last Name:HOOVER
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 1:6801 MCCART AVE
Mailing Address - Street 2:SUITE A-2
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76133-6378
Mailing Address - Country:US
Mailing Address - Phone:817-346-2211
Mailing Address - Fax:
Practice Address - Street 1:6801 MCCART AVE
Practice Address - Street 2:SUITE A-2
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76133-6378
Practice Address - Country:US
Practice Address - Phone:817-346-2211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-31
Last Update Date:2007-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4458111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor