Doctor Name: | DR. STANLEY THOMAS HOOVER |
NPI Number: | 1366423691 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | L07862R |
Business Practice Address: | 1144 Coolidge Suite D Lafayette, LA - 70503 |
Business Phone Number: | 3372611110 |
Business Fax Number: | 3372611152 |
Mailing Address: | 1144 Coolidge Blvd, Suite D LAFAYETTE |
State: | LA |
Postal Code: | 705032622 |
Phone Number: | 3372611110 |
Fax Number: | 3372611152 |
NPI Enumeration Date: | 11/14/2005 |
NPI Last Update Date: | 03/14/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | L07862R |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |