Provider Demographics
NPI:1184687048
Name:HOPSON, WILLIAM EARL JR
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:EARL
Last Name:HOPSON
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1404 RICE RD
Mailing Address - Street 2:STE 400
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75703-3261
Mailing Address - Country:US
Mailing Address - Phone:903-581-4393
Mailing Address - Fax:903-581-8511
Practice Address - Street 1:1404 RICE RD
Practice Address - Street 2:STE 400
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75703-3261
Practice Address - Country:US
Practice Address - Phone:903-581-4393
Practice Address - Fax:903-581-8511
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-10
Last Update Date:2016-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7859111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX002041401Medicaid
TXU70051Medicare UPIN
TX002041401Medicaid