MEDICARE: DR. PATRICK J HOPKINS PSY.D.

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	103T00000X	Psychologist	11478	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588703649
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PATRICK J HOPKINS PSY.D.

Provider Business Mailing Address
First Line	:	5327 FAIR RIDGE DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78228-1052
Country	:	US
Telephone Number	:	210-831-7188
Fax Number	:	210-680-1178

Provider Business Practice Location Address
First Line	:	5805 CALLAGHAN RD
Second Line	:	SUITE 100
City	:	SAN ANTONIO
State	:	TX
Zip	:	78228-1128
Country	:	US
Telephone Number	:	210-520-8284
Fax Number	:	210-520-8284

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

Provider Enumeration Date	:	02/05/2007
Last Update Date	:	08/18/2017

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