Provider Demographics
NPI:1588703649
Name:HOPKINS, PATRICK J (PSYD)
Entity type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:J
Last Name:HOPKINS
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5327 FAIR RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78228-1052
Mailing Address - Country:US
Mailing Address - Phone:210-831-7188
Mailing Address - Fax:210-680-1178
Practice Address - Street 1:5805 CALLAGHAN RD
Practice Address - Street 2:SUITE 100
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78228-1128
Practice Address - Country:US
Practice Address - Phone:210-520-8284
Practice Address - Fax:210-520-8284
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2017-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11478103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1757080-01Medicaid
TX611449Medicare ID - Type UnspecifiedPROVIDER NUMBER