Provider Demographics
NPI:1194958199
Name:SORAYA HOOVER MD PA
Entity type:Organization
Organization Name:SORAYA HOOVER MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNWE/MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:SORAYA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOOVER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-626-4999
Mailing Address - Street 1:5151 KATY FWY
Mailing Address - Street 2:SUITE 300
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77007-2260
Mailing Address - Country:US
Mailing Address - Phone:713-626-4999
Mailing Address - Fax:713-863-1172
Practice Address - Street 1:5151 KATY FWY
Practice Address - Street 2:SUITE 300
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77007-2260
Practice Address - Country:US
Practice Address - Phone:713-626-4999
Practice Address - Fax:713-863-1172
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-25
Last Update Date:2009-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF0518207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
10021868OtherAMERIGROUP
100047743402OtherUNITED HEALTHCARE
TX098155701Medicaid
TX098155701Medicaid
10021868OtherAMERIGROUP