Individual
DEREK MICHAEL SCHOPPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1500 CITYWEST BLVD, STE. 300, HOUSTON, TX 77042-2300
(713) 620-4000
(713) 458-4229
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
K3643
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046341608
—
TX
05
—
046341609
—
TX
01
—
8AW232
BLUE CROSS BLUE SHIELD
TX
01
—
8M8952
BLUE CROSS PROVIDER ID
TX
01
—
P00146213
RAILROAD MEDICARE
—
Enumeration date
01/18/2007
Last updated
07/29/2020
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