Organization
ANDREW W HOOVER MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW W HOOVER MD (PRESIDENT)
(817) 636-2018
Entity
Organization
Contact information
Practice address
600 S MAIN ST, STE 100, RHOME, TX 76078
(817) 636-2018
(817) 636-2022
Mailing address
600 S MAIN STREET, #100, RHOME, TX 76078
(817) 636-2018
(817) 636-2022
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J4214
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004HW
BCBS
TX
01
—
80166950
RR MCARE
—
Enumeration date
07/06/2006
Last updated
01/06/2012
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