Provider Demographics
NPI:1851693923
Name:RONALD R. HOPKINS, D.O., PLLC
Entity Type:Organization
Organization Name:RONALD R. HOPKINS, D.O., PLLC
Other - Org Name:RONALD R. HOPKINS, D.O.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:R
Authorized Official - Last Name:HOPKINS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:405-631-0663
Mailing Address - Street 1:210 SW 89TH ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73139-8532
Mailing Address - Country:US
Mailing Address - Phone:405-631-0663
Mailing Address - Fax:405-631-7047
Practice Address - Street 1:210 SW 89TH ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73139-8532
Practice Address - Country:US
Practice Address - Phone:405-631-0663
Practice Address - Fax:405-631-7047
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-23
Last Update Date:2010-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2282207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty