1255506010 NPI number — BRIAN L. HOCHSTEIN DDS., PA

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1255506010 NPI number — BRIAN L. HOCHSTEIN DDS., PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BRIAN L. HOCHSTEIN DDS., PA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1255506010
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/23/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
120 E. FM ROAD 544
Provider Second Line Business Mailing Address:
SUITE 78
Provider Business Mailing Address City Name:
MURPHY
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75094
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
972-881-0715
Provider Business Mailing Address Fax Number:
972-881-8521

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
120 E. FM ROAD 544
Provider Second Line Business Practice Location Address:
SUITE 78
Provider Business Practice Location Address City Name:
MURPHY
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75094
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
972-881-0715
Provider Business Practice Location Address Fax Number:
972-881-8521
Provider Enumeration Date:
04/23/2008

Additional Information

Authorized Official

Authorized Official Last Name:
MALDONADO
Authorized Official First Name:
MARTHA
Authorized Official Middle Name:
GUZMAN
Authorized Official Title or Position:
OFFICE MANAGER
Authorized Official Telephone Number:
972-881-0715

Provider Taxonomy Codes

  • Taxonomy code: 1223P0221X , with the licence number:  16968 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 753280 . This is a "UNITED CONCORDIA" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 84D141 . This is a "BLUECROSS BLUESHIELD" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: U50410 . This is a "UPIN" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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