1831386549 NPI number — HOP MEDICAL SERVICES, M.D.P.A.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1831386549 NPI number — HOP MEDICAL SERVICES, M.D.P.A.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HOP MEDICAL SERVICES, M.D.P.A.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1831386549
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/15/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8806 NORTH NAVARRO STREET
Provider Second Line Business Mailing Address:
SUITE 600-B296
Provider Business Mailing Address City Name:
VICTORIA
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77904
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
361-579-1366
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1902 JOHN STOCKBAUER DRIVE
Provider Second Line Business Practice Location Address:
SUITE 300
Provider Business Practice Location Address City Name:
VICTORIA
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77904
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
361-894-6479
Provider Business Practice Location Address Fax Number:
361-894-8652
Provider Enumeration Date:
09/26/2007

Additional Information

Authorized Official

Authorized Official Last Name:
MORGAN
Authorized Official First Name:
COURTNEY
Authorized Official Middle Name:
RICARDO
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
305-773-3744

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  M8195 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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