Organization · NPI-2

Brian Hofung, MD, PLLC

Clinic/Center · Johnson City, TN

NPI number1457585770
StatusActive
Last updated in NPPESMay 14, 2009

Details

NPI
1457585770
Entity type
Organization (NPI-2)
Legal business name
Brian Hofung, MD, PLLC
Organization subpart
No
Enumeration date
May 14, 2009
Last updated
May 14, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/CenterMD31830TNYes

Practice location

602 N Roan St
Suite #2
Johnson City, TN 37601-4763

Phone 423-979-0466 · Fax 423-979-0467

Mailing address

602 N Roan St
Suite #2
Johnson City, TN 37601-4763

Phone 423-979-0466 · Fax 423-979-0467

Authorized official

Brian Christopher Hofung
Owner
4239790466

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Clinic/Center providers in Johnson City, TN