MEDICARE: CINDY DAWN HOPKINS FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RN0300X	Nephrology Physician	AP141905	TX
2	363LF0000X	Family Nurse Practitioner	AP141905	TX

General Provider Information

NPI Number	:	1508426693
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CINDY DAWN HOPKINS FNP-C

Provider Business Mailing Address
First Line	:	10611 GARLAND RD STE 105
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75218-2680
Country	:	US
Telephone Number	:	469-904-2020
Fax Number	:	469-904-2028

Provider Business Practice Location Address
First Line	:	10611 GARLAND RD STE 105
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75218-2680
Country	:	US
Telephone Number	:	469-904-2020
Fax Number	:	469-904-2028

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/19/2019
Last Update Date	:	08/04/2022

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