Individual
JASE RUSSELL EDWARD HOFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 W 39TH ST APT 110, AUSTIN, TX 78751-4937
(715) 572-8623
Mailing address
401 W 39TH ST APT 110, AUSTIN, TX 78751-4937
(715) 572-8623
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
254446-30
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
1111519
TX
Other
Enumeration date
02/22/2023
Last updated
02/27/2024
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