1205000320 NPI number — BRIAN L. HOCHSTEIN, DDS., PA.

Table of content: MAY CHIEN-SHIAN HONG M.D. (NPI 1811933690)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1205000320 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:
1205000320
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/18/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2244 S BUCKNER BLVD
Provider Second Line Business Mailing Address:
SUITE B
Provider Business Mailing Address City Name:
DALLAS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75227-8578
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
214-381-0663
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2244 S BUCKNER BLVD
Provider Second Line Business Practice Location Address:
SUITE B
Provider Business Practice Location Address City Name:
DALLAS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75227-8578
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
214-381-0663
Provider Business Practice Location Address Fax Number:
214-381-1429
Provider Enumeration Date:
04/18/2008

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:
214-381-0663

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: 752380 . 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".
  • Identifier: 009122501 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




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