Individual
DR. LANCE M HOOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4925 N O'CONNOR, #105, IRVING, TX 75062
(469) 565-3502
(214) 594-0203
Mailing address
4925 N O'CONNOR RD, #105, IRVING, TX 75062
(210) 737-4406
(214) 594-0203
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
K3753
TX
208VP0014X
Interventional Pain Medicine Physician
K3753
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050049927
RAILROAD MEDICARE
OK
05
—
100148860B
—
OK
01
—
175450200
DEPT OF LABOR
OK
05
—
198224101
—
TX
01
—
45490704002
BCBS OF OK
OK
01
—
5809231
AETNA
OK
01
—
8BG784
BCBS
TX
Enumeration date
10/12/2005
Last updated
02/28/2023
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