Provider Demographics
NPI:1356336366
Name:HOPKINS, JANEY DELORES (CRNA)
Entity type:Individual
Prefix:
First Name:JANEY
Middle Name:DELORES
Last Name:HOPKINS
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:DELORES
Other - Middle Name:JANE
Other - Last Name:HOPKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1627 MORNING SHADOWS DR
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-6992
Mailing Address - Country:US
Mailing Address - Phone:281-794-9119
Mailing Address - Fax:
Practice Address - Street 1:1515 HOLCOMBE BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-4000
Practice Address - Country:US
Practice Address - Phone:713-606-3293
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-15
Last Update Date:2009-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX621076367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX002160202Medicaid
TX036762OtherRECERTIFICATION AANA
TX82718UOtherBLUE CROSS BLUE SHIELD
TX88130HMedicare ID - Type Unspecified
TX002160202Medicaid
TX82718UOtherBLUE CROSS BLUE SHIELD