Provider Demographics
NPI:1881670172
Name:HOPKINS, JEFFREY DONALD (MD)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:DONALD
Last Name:HOPKINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3450 W WHEATLAND ROAD
Mailing Address - Street 2:SUITE 425
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75237
Mailing Address - Country:US
Mailing Address - Phone:972-298-6641
Mailing Address - Fax:972-298-2749
Practice Address - Street 1:3450 W WHEATLAND ROAD
Practice Address - Street 2:SUITE 425
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75237
Practice Address - Country:US
Practice Address - Phone:972-298-6641
Practice Address - Fax:972-298-2749
Is Sole Proprietor?:No
Enumeration Date:2005-12-19
Last Update Date:2008-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ72792086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX030297801Medicaid
TX00855UMedicare PIN
TXG95516Medicare UPIN