Individual
JEFFREY M. KOPITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3600 GASTON AVE, SUITE 960, DALLAS, TX 75246-1800
(214) 820-5630
(214) 820-9818
Mailing address
3600 GASTON AVE, SUITE 960, DALLAS, TX 75246-1800
(214) 820-5630
(214) 820-9818
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
J8018
TX
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
J8018
TX
207RP1001X
Pulmonary Disease Physician
Primary
J8018
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1185258-04
—
TX
05
—
118525801
—
TX
05
—
118525805
—
TX
01
—
83301X
BCBS
TX
01
—
8BN465
BCBS
TX
Enumeration date
06/22/2006
Last updated
06/15/2023
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