Provider Demographics
NPI:1639749179
Name:HOPKINS, TIFFANY JANEE (BA)
Entity Type:Individual
Prefix:MS
First Name:TIFFANY
Middle Name:JANEE
Last Name:HOPKINS
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 TAYLOR ST
Mailing Address - Street 2:APT 462
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77007-4570
Mailing Address - Country:US
Mailing Address - Phone:919-909-9769
Mailing Address - Fax:
Practice Address - Street 1:350 N SAM HOUSTON PKWY E STE B238
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77060-3315
Practice Address - Country:US
Practice Address - Phone:832-761-3176
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-28
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator