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NPI Code Detail

MEDICARE: MR. DOUGLAS PHENILE HOPKINS LPC

MEDICARE: MR. DOUGLAS PHENILE HOPKINS LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor14792TX

General Provider Information

NPI Number : 1063583524
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DOUGLAS PHENILE HOPKINS LPC
Provider Business Mailing Address
First Line : 4633 GEORGE PATTON LN.
Second Line :
City : EL PASO
State : TX
Zip : 79924
Country : US
Telephone Number : 915-751-6046
Fax Number :
Provider Business Practice Location Address
First Line : 5555 N MESA ST STE 500
Second Line :
City : EL PASO
State : TX
Zip : 79912-5424
Country : US
Telephone Number : 915-581-0333
Fax Number : 915-581-0302
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2006
Last Update Date : 07/09/2007

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