MEDICARE: TREVOR HOPPER FNP-C

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	363LF0000X	Family Nurse Practitioner	AP140890	TX

General Provider Information

NPI Number	:	1225697238
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TREVOR HOPPER FNP-C

Provider Business Mailing Address
First Line	:	32000 RR 12
Second Line	:
City	:	DRIPPING SPRINGS
State	:	TX
Zip	:	78620-3134
Country	:	US
Telephone Number	:	512-882-9116
Fax Number	:	512-882-9116

Provider Business Practice Location Address
First Line	:	32000 RR 12
Second Line	:
City	:	DRIPPING SPRINGS
State	:	TX
Zip	:	78620-3134
Country	:	US
Telephone Number	:	512-882-9116
Fax Number	:	512-882-9116

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/12/2019
Last Update Date	:	03/10/2026

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