Healthcare Provider Details

I. General information

NPI: 1720805609
Provider Name (Legal Business Name): HOPKINS MEDICAL SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2024
Last Update Date: 11/26/2024
Certification Date: 11/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2825 BROADBENT PKWY NE STE B
ALBUQUERQUE NM
87107-1627
US

IV. Provider business mailing address

13504 HAINES AVE NE
ALBUQUERQUE NM
87112-4932
US

V. Phone/Fax

Practice location:
  • Phone: 505-235-2987
  • Fax:
Mailing address:
  • Phone: 505-235-2987
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL HOPKINS
Title or Position: MEMBER
Credential: MD
Phone: 505-235-2987