Individual
SHAWNTA PITTMAN HOBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1400 8TH AVE, FORT WORTH, TX 76104-4110
(817) 922-2173
Mailing address
3600 GASTON AVE, SUITE 550 WADLEY TOWER, DALLAS, TX 75246-1800
(214) 821-1177
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
M3697
TX
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
M3697
TX
207RR0500X
Rheumatology Physician
M3697
TX
208M00000X
Hospitalist Physician
M3697
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181490701
—
TX
05
—
181490702
—
TX
01
—
8CW341
BCBS
TX
01
—
8U1127
BCBS
TX
01
—
P01051899
RAILROAD MEDICARE
TX
Enumeration date
07/07/2006
Last updated
04/08/2022
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