Individual
DR. KEN CHRIS HOPPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
262 CARROLL ST, FORT WORTH, TX 76107-1907
(817) 274-8800
(817) 274-8806
Mailing address
408 VIRGINIA PL, FORT WORTH, TX 76107-1614
(817) 274-8800
(817) 274-8806
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
H5512
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1669640686
GROUP NPI
TX
Enumeration date
08/19/2006
Last updated
05/03/2021
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