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HOOKS DIABETES & MEDICINE CLINIC PLLC NPI 1841646148


NPI Information

NPI: 1841646148
Provider Name: HOOKS DIABETES & MEDICINE CLINIC, PLLC
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

CLIA Number: 25D2110809

Address:
2625 TRACELAND DR STE A
TUPELO, MS
ZIP 38801
Phone: (662) 260-4708
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HOOKS DIABETES & MEDICINE CLINIC, PLLC is a medical specialty clinic center in Tupelo, MS. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). HOOKS DIABETES & MEDICINE CLINIC, PLLC NPI is 1841646148. The provider is registered as an organization entity type.

The provider's business location address is:

2625 TRACELAND DR STE A
TUPELO, MS
ZIP 38801-240
Phone: (662) 260-4708
Fax: (662) 260-4860

The provider's authorized official is Nancy D Hooks .
The authorized official title is Owner/provider and has the following contact phone number (662) 260-4708.

The CLIA number assigned to this NPI record is 25D2110809 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/5/2016 and was last updated on 5/5/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM2500XClinic/CenterMedical SpecialtyR867568MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11174896245OTHERMISSISSIPPINPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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