Tavis Shane Hooten
Tavis Shane Hooten is a Homemaker in Omaha, Nebraska. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
16909 Lakeside Hills Plz Ste 114Omaha, NE 68130-4652
Phone: (402) 932-2211
Fax: (402) 932-9002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Homemaker (primary) | Taxonomy 376J00000X |
|---|
Record details
| NPI number | 1578448973 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 6, 2025 |
| Last updated in NPPES | August 6, 2025 |
| Certification date | August 1, 2025 |
| Mailing address | 16909 Lakeside Hills Plz Ste 114, Omaha, NE 68130-4652 |
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