Healthcare Provider Details

I. General information

NPI: 1255795324
Provider Name (Legal Business Name): IPA NEUROSURGERY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2016
Last Update Date: 06/13/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4310 JAMES CASEY ST STE 3C
AUSTIN TX
78745-1251
US

IV. Provider business mailing address

PO BOX 1058
SAN ANTONIO TX
78294-1058
US

V. Phone/Fax

Practice location:
  • Phone: 512-326-2800
  • Fax:
Mailing address:
  • Phone: 832-630-3829
  • Fax: 832-644-1220

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: TIMOTHY E HOPKINS
Title or Position: OWNER
Credential: M.D.
Phone: 325-212-5196