Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 014356 | LA |
N | 2080P0205X | Pediatric Endocrinologist | MD2014-0995 | NM |
Y | 2080P0214X | Pediatric Pulmonologist | MD2014-0995 | NM |
NPI | 1578536694 |
---|---|
Provider Name | Dr. Robert Hopkins |
First Address | New Orleans, LA 70112-2632 |
Second Address | New Orleans, LA 70112-2632 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/02/2006 |
Last Update Date | 21/12/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1195634 | (05) | LA |
D79802 | (02) | LA |