Provider Demographics
NPI:1154506640
Name:TEXAS HIP & KNEE SURGERY PA
Entity Type:Organization
Organization Name:TEXAS HIP & KNEE SURGERY PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELDON
Authorized Official - Middle Name:GERALD
Authorized Official - Last Name:HOPKINS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-377-6600
Mailing Address - Street 1:4222 TRINITY MILLS RD
Mailing Address - Street 2:SUITE 252
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75287-7603
Mailing Address - Country:US
Mailing Address - Phone:214-239-4500
Mailing Address - Fax:214-239-4504
Practice Address - Street 1:5575 WARREN PKWY
Practice Address - Street 2:SUITE 206
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-4062
Practice Address - Country:US
Practice Address - Phone:972-377-6600
Practice Address - Fax:972-377-6614
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-03
Last Update Date:2013-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207X00000X, 207XS0114X, 207XX0801X
TXL0276207XS0114X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic SurgeryGroup - Multi-Specialty
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
No207XX0801XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic TraumaGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0075QUOtherBCBS
TXL0276OtherLICENSE
TX00Y575Medicare PIN