Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | DC4853 | TX |
NPI | 1235318502 |
---|---|
Provider Name | John Hopkins |
First Address | Dallas, TX 75240-4946 |
Second Address | Dallas, TX 75240-4946 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2007 |
Last Update Date | 02/11/2007 |