Provider Demographics
NPI:1265476154
Name:HOPSON, DANIEL J (MD PA)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:J
Last Name:HOPSON
Suffix:
Gender:M
Credentials:MD PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2800 N DALLAS PKWY
Mailing Address - Street 2:#210
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-5993
Mailing Address - Country:US
Mailing Address - Phone:972-403-3100
Mailing Address - Fax:972-403-3105
Practice Address - Street 1:2800 N DALLAS PKWY
Practice Address - Street 2:#210
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-5993
Practice Address - Country:US
Practice Address - Phone:972-403-3100
Practice Address - Fax:972-403-3105
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-15
Last Update Date:2015-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG64582084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX123245602Medicaid
TXP00080096OtherMEDICARE RAILROAD
TX8J1940OtherBLUE CROSS BLUE SHIELD
TX8A7380Medicare ID - Type Unspecified
TXP00080096OtherMEDICARE RAILROAD