Provider Demographics
NPI:1912089285
Name:HOPKINS, ERIC E (MD)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:E
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:PO BOX 733784
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75373-3784
Mailing Address - Country:US
Mailing Address - Phone:682-885-1855
Mailing Address - Fax:682-885-1396
Practice Address - Street 1:1600 W NORTHWEST HWY
Practice Address - Street 2:STE 900
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051-8112
Practice Address - Country:US
Practice Address - Phone:817-488-7573
Practice Address - Fax:817-488-5096
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2021-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL4445208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8B0030OtherBCBSTX IND PIN
TX1990956OtherFIRSTHEALTH PIN
TX151816901Medicaid
TX00U87ZOtherBCBSTX GRP PIN
TX140442891Medicaid
1750369203OtherGRP NPI NUMBER
TX2237807OtherUHC PIN
TXHOPE455637OtherCCHIP PIN
TX7539352OtherAETNA PIN
TX140442888Medicaid
TX8748306OtherCIGNA PIN
TX8796B6Medicare PIN
TX00479RMedicare PIN
TX140442888Medicaid