Provider Demographics
NPI:1710201777
Name:WILLIAM HOPSON DC PC
Entity Type:Organization
Organization Name:WILLIAM HOPSON DC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:HOPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-581-4393
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-19
Last Update Date:2011-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7859111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX002041401Medicaid
TX002041401Medicaid