1831259399 NPI number — DR. DAVELYN EAVES HOOD MD

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1831259399 NPI number — DR. DAVELYN EAVES HOOD MD

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

HOOD

Provider First Name:

DAVELYN

Provider Middle Name:

EAVES

Provider Name Prefix Text:

DR.

Provider Name Suffix Text:

Provider Credential Text:

MD

Provider Gender Code:

F

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:

1831259399

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

11/04/2008

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

2407 NORHAM DR

Provider Second Line Business Mailing Address:

Provider Business Mailing Address City Name:

COLLEGE STATION

Provider Business Mailing Address State Name:

TX

Provider Business Mailing Address Postal Code:

77845-4884

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

979-251-1468

Provider Business Mailing Address Fax Number:

Provider First Line Business Practice Location Address:

3370 SOUTH TEXAS AVENUE

Provider Second Line Business Practice Location Address:

SUITE B

Provider Business Practice Location Address City Name:

BRYAN

Provider Business Practice Location Address State Name:

TX

Provider Business Practice Location Address Postal Code:

77802

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

979-595-1700

Provider Business Practice Location Address Fax Number:

Provider Enumeration Date:

12/12/2006

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 207Q00000X , with the licence number:  K6965 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

• Identifier: 1275620551 . This is a "ROBERTSON CHC NPI" identifier . This identifiers is of the category "OTHER".
• Identifier: 154467801 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
• Identifier: 154467803 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
• Identifier: 1750470084 . This is a "MADISON CHC NPI" identifier . This identifiers is of the category "OTHER".
• Identifier: 185649401 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
• Identifier: 000951608 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
• Identifier: 1821185299 . This is a "BVCAA, INC. AGENCY NPI" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
• Identifier: 187842301 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
• Identifier: 1275726853 . This is a "COLLEGE STATION CHC NPI" identifier . This identifiers is of the category "OTHER".
• Identifier: 1568519122 . This is a "LEON CHC NPI" identifier . This identifiers is of the category "OTHER".
• Identifier: 1649265646 . This is a "BRYAN-COLLEGE STATION CHC NPI" identifier . This identifiers is of the category "OTHER".
• Identifier: 1700973187 . This is a "GRIMES CHC NPI" identifier . This identifiers is of the category "OTHER".
• Identifier: 000951607 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".