Provider Demographics
NPI:1447351853
Name:HOFFMAN, ALAN SAMUEL (MD)
Entity type:Individual
Prefix:
First Name:ALAN
Middle Name:SAMUEL
Last Name:HOFFMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6560 FANNIN ST STE 2000
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2736
Mailing Address - Country:US
Mailing Address - Phone:713-790-1790
Mailing Address - Fax:
Practice Address - Street 1:6560 FANNIN ST STE 2000
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2736
Practice Address - Country:US
Practice Address - Phone:713-790-1790
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2020-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH0454207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXC17006Medicare UPIN
TX00J37DMedicare ID - Type Unspecified