Healthcare Provider Details

I. General information

NPI: 1376562405
Provider Name (Legal Business Name): HOPKINS COUNTY PHYSICIAN SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 03/28/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 E. LENNON
EMORY TX
75440-0988
US

IV. Provider business mailing address

PO BOX 1367
SULPHUR SPRINGS TX
75483-1367
US

V. Phone/Fax

Practice location:
  • Phone: 903-473-7234
  • Fax: 903-473-8096
Mailing address:
  • Phone: 903-473-7234
  • Fax: 903-473-8096

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number StateTX

VIII. Authorized Official

Name: LAURA MELTON
Title or Position: PROVIDER ADMINISTRATOR
Credential:
Phone: 903-438-3336