Provider Demographics
NPI:1114716511
Name:HOEDEBECKE CLINIC PLLC
Entity type:Organization
Organization Name:HOEDEBECKE CLINIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:
Authorized Official - Last Name:HOEDEBECKE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:646-925-9478
Mailing Address - Street 1:31014 TIMBER BEND LN
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386-4400
Mailing Address - Country:US
Mailing Address - Phone:646-925-9478
Mailing Address - Fax:833-532-0485
Practice Address - Street 1:1725 HUGHES LANDING BLVD STE 970
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-3882
Practice Address - Country:US
Practice Address - Phone:646-925-9478
Practice Address - Fax:833-532-0485
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-02
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty