Organization
KEN C HOPPER MD PA
Active
Organization
KEN C HOPPER MD PA
Active
Other names
The Hopper Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEN C HOPPER M.D (OWNER)
(817) 274-8800
Entity
Organization
Contact information
Practice address
801 ROAD TO SIX FLAGS W STE 145, ARLINGTON, TX 76012-2600
(817) 274-8800
(817) 274-8806
Mailing address
801 ROAD TO SIX FLAGS W STE 145, ARLINGTON, TX 76012-2600
(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
—
00D38A
MEDIARE ID
TX
Enumeration date
02/12/2008
Last updated
02/12/2008
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