Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 226300000X | Kinesiotherapist |
NPI | 1366482499 |
---|---|
Provider Name | Mr. Charles James Hopkins |
First Address | Kerrville, TX 78028-9256 |
Second Address | Kerrville, TX 78028-5768 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2006 |
Last Update Date | 08/07/2007 |