Healthcare Provider Details

I. General information

NPI: 1225697238
Provider Name (Legal Business Name): TREVOR HOPPER FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2019
Last Update Date: 03/10/2026
Certification Date: 03/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32000 RR 12
DRIPPING SPRINGS TX
78620-3134
US

IV. Provider business mailing address

32000 RR 12
DRIPPING SPRINGS TX
78620-3134
US

V. Phone/Fax

Practice location:
  • Phone: 512-882-9116
  • Fax: 512-882-9116
Mailing address:
  • Phone: 512-882-9116
  • Fax: 512-882-9116

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP140890
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: