Individual
CLARK HOPKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
751 S BECKHAM AVE, TYLER, TX 75701-1903
(903) 595-6126
Mailing address
751 S BECKHAM AVE, TYLER, TX 75701-1903
(903) 595-6126
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1098895
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8T1721
BLUE CROSS BLUE SHIELD
TX
Enumeration date
10/11/2006
Last updated
07/08/2007
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