Provider Demographics
NPI:1275723660
Name:HOFFERT, DAISY CHRISTINA (PA-C)
Entity type:Individual
Prefix:
First Name:DAISY
Middle Name:CHRISTINA
Last Name:HOFFERT
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3827 N 10TH ST
Mailing Address - Street 2:STE 305
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-1745
Mailing Address - Country:US
Mailing Address - Phone:956-803-0748
Mailing Address - Fax:956-803-0711
Practice Address - Street 1:1104 ADAMS ST STE 201
Practice Address - Street 2:
Practice Address - City:SAINT HELENA
Practice Address - State:CA
Practice Address - Zip Code:94574-1175
Practice Address - Country:US
Practice Address - Phone:707-967-0800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-31
Last Update Date:2024-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVPA1054363A00000X
363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVGP711ZMedicare PIN