Healthcare Provider Details

I. General information

NPI: 1740436468
Provider Name (Legal Business Name): GARY ALAN HOPKINS MD, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2008
Last Update Date: 08/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11614 BEE CAVES RD STE 160
AUSTIN TX
78738-5405
US

IV. Provider business mailing address

3006 BEE CAVE RD STE A290
AUSTIN TX
78746-5588
US

V. Phone/Fax

Practice location:
  • Phone: 512-329-6617
  • Fax: 512-329-6772
Mailing address:
  • Phone: 512-329-6617
  • Fax: 512-329-6772

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberK7302
License Number StateTX

VIII. Authorized Official

Name: DR. GARY ALAN HOPKINS
Title or Position: OWNER
Credential: MD
Phone: 512-329-6617