Provider Demographics
NPI:1013227875
Name:N KOPMAN DO PA
Entity Type:Organization
Organization Name:N KOPMAN DO PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:NORMAN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:KOPMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:214-331-8321
Mailing Address - Street 1:2909 S HAMPTON RD
Mailing Address - Street 2:STE C102
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75224-3000
Mailing Address - Country:US
Mailing Address - Phone:214-331-8321
Mailing Address - Fax:214-331-7683
Practice Address - Street 1:2203 W LAMPASAS ST
Practice Address - Street 2:STE 111
Practice Address - City:ENNIS
Practice Address - State:TX
Practice Address - Zip Code:75119-3000
Practice Address - Country:US
Practice Address - Phone:214-331-8321
Practice Address - Fax:214-331-7683
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-14
Last Update Date:2010-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE3575207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX084370801Medicaid
TX084370801Medicaid