Provider Demographics
NPI:1528061439
Name:CHOPP, RICHARD THOMAS (MD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:THOMAS
Last Name:CHOPP
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:11410 JOLLYVILLE RD
Mailing Address - Street 2:STE 1101
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-4093
Mailing Address - Country:US
Mailing Address - Phone:512-231-1444
Mailing Address - Fax:512-231-1470
Practice Address - Street 1:11410 JOLLYVILLE RD
Practice Address - Street 2:STE 1101
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-4093
Practice Address - Country:US
Practice Address - Phone:512-231-1456
Practice Address - Fax:512-231-7059
Is Sole Proprietor?:No
Enumeration Date:2005-05-24
Last Update Date:2013-05-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXG1876208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1528061439OtherNPI
TX83960FMedicare ID - Type Unspecified
TX1528061439OtherNPI