Provider Demographics
NPI:1215039581
Name:HOPKINS, MARGOT O (MEDCCC/SLP)
Entity Type:Individual
Prefix:MRS
First Name:MARGOT
Middle Name:O
Last Name:HOPKINS
Suffix:
Gender:F
Credentials:MEDCCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:523 ELM STREET
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:TX
Mailing Address - Zip Code:78374-1711
Mailing Address - Country:US
Mailing Address - Phone:361-643-6828
Mailing Address - Fax:361-643-8028
Practice Address - Street 1:523 ELM STREET
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:TX
Practice Address - Zip Code:78374-1711
Practice Address - Country:US
Practice Address - Phone:361-643-6828
Practice Address - Fax:361-643-8028
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-05
Last Update Date:2011-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14176235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX089089901Medicaid
TX089089901Medicaid