Individual
ASA FENTON HOOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1500 S UNIVERSITY PARKS DR, WACO, TX 76706-1731
(802) 825-6231
Mailing address
2001 S 5TH ST APT 604, WACO, TX 76706-2562
(802) 825-6231
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/20/2021
Last updated
01/20/2021
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