Individual
DR. JOHN RUSSELL HOVERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
6204 BALCONES DR, AUSTIN, TX 78731-4214
(512) 302-1771
(512) 302-9774
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 437-9605
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
E9704
TX
207RX0202X
Medical Oncology Physician
E9704
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8R1469
BLUE CROSS OF TX
TX
Enumeration date
06/12/2006
Last updated
02/18/2008
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