Provider Demographics
NPI:1689263071
Name:GARCIA-HOPPER, URSULA ANDREA (CPHT)
Entity Type:Individual
Prefix:MRS
First Name:URSULA
Middle Name:ANDREA
Last Name:GARCIA-HOPPER
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12318 VISTA RIM
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78233-6231
Mailing Address - Country:US
Mailing Address - Phone:210-740-5335
Mailing Address - Fax:
Practice Address - Street 1:14087 OCONNOR RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78247-1979
Practice Address - Country:US
Practice Address - Phone:210-637-0033
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-11
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX100200183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician