MEDICARE: GARY ALAN HOPKINS MD, 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	208D00000X	General Practice Physician	K7302	TX

General Provider Information

NPI Number	:	1740436468
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GARY ALAN HOPKINS MD, PA

Provider Business Mailing Address
First Line	:	3006 BEE CAVE RD
Second Line	:	STE A290
City	:	AUSTIN
State	:	TX
Zip	:	78746-5588
Country	:	US
Telephone Number	:	512-329-6617
Fax Number	:	512-329-6772

Provider Business Practice Location Address
First Line	:	11614 BEE CAVES RD
Second Line	:	STE 160
City	:	AUSTIN
State	:	TX
Zip	:	78738-5405
Country	:	US
Telephone Number	:	512-329-6617
Fax Number	:	512-329-6772

Authorized Official
Title or Position	:	OWNER
Name	:	DR. GARY ALAN HOPKINS
Credential	:	MD
Telephone Number	:	512-329-6617

Provider Enumeration Date	:	08/13/2008
Last Update Date	:	08/13/2008

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