Healthcare Provider Details
I. General information
NPI: 1316564263
Provider Name (Legal Business Name): ASHLEIGH ELISABETH-AUBIN HOPPER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/26/2020
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2401 S 31ST ST
TEMPLE TX
76508-0001
US
IV. Provider business mailing address
1901 SW H K DODGEN LOOP
TEMPLE TX
76502-1814
US
V. Phone/Fax
- Phone: 254-724-2311
- Fax:
- Phone: 254-724-2311
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2080N0001X |
| Taxonomy | Neonatal-Perinatal Medicine Physician |
| License Number | W7637 |
| License Number State | TX |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | LL04558 |
| License Number State | SC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: