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Individual

DR. TERRI L HOFFMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
800 E DAWSON ST, TYLER, TX 75701-2036
(903) 606-1914
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6400

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
359458-1205
UT
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
R1774
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
369272501
TX
01
75-2616977-042
TRICARE
TX
01
P00079984
MEDICARE RAILROAD
UT
01
P01838466
MEDICARE RAIL ROAD
TX
Enumeration date
07/18/2006
Last updated
06/23/2017
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