Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | L0276 | TX |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | L0276 | TX |
N | 207XX0801X | Orthopaedic Trauma Surgeon | L0276 | TX |
NPI | 1407853955 |
---|---|
Provider Name | Eldon G Hopkins |
First Address | Allen, TX 75013-3742 |
Second Address | Allen, TX 75013-3742 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2005 |
Last Update Date | 09/02/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8AV140 | BCBS (01) | TX |