MEDICARE: N KOPMAN DO PA

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
1	207RP1001X	Pulmonary Disease Physician	E3575	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164619185
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	N KOPMAN DO PA

Provider Business Mailing Address
First Line	:	2909 S HAMPTON RD STE C102
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75224-3049
Country	:	US
Telephone Number	:	214-331-8321
Fax Number	:	214-331-7683

Provider Business Practice Location Address
First Line	:	2909 S HAMPTON RD STE C102
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75224-3049
Country	:	US
Telephone Number	:	214-331-8321
Fax Number	:	214-331-7683

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. NORMAN MICHAEL KOPMAN
Credential	:	D.O.
Telephone Number	:	214-331-8321

Provider Enumeration Date	:	10/03/2007
Last Update Date	:	09/30/2008

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