Provider Demographics
NPI:1265614267
Name:G. KEN HEMPEL, M. D., P. A.
Entity type:Organization
Organization Name:G. KEN HEMPEL, M. D., P. A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:G.
Authorized Official - Middle Name:KEN
Authorized Official - Last Name:HEMPEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-796-3439
Mailing Address - Street 1:3701 JUNIUS ST # B010
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75246-2026
Mailing Address - Country:US
Mailing Address - Phone:214-796-3439
Mailing Address - Fax:877-720-0539
Practice Address - Street 1:3600 GASTON AVE
Practice Address - Street 2:SUITE #210
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-1800
Practice Address - Country:US
Practice Address - Phone:214-820-4400
Practice Address - Fax:214-827-8840
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-30
Last Update Date:2011-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXC7638208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00870XMedicare PIN