Provider Demographics
NPI:1912704230
Name:CHOPIN, CORNELIUS JOSHUA JR
Entity type:Individual
Prefix:
First Name:CORNELIUS
Middle Name:JOSHUA
Last Name:CHOPIN
Suffix:JR
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1508 MCKINNEY DR
Mailing Address - Street 2:
Mailing Address - City:LEANDER
Mailing Address - State:TX
Mailing Address - Zip Code:78641-4791
Mailing Address - Country:US
Mailing Address - Phone:512-589-8588
Mailing Address - Fax:
Practice Address - Street 1:1508 MCKINNEY DR
Practice Address - Street 2:
Practice Address - City:LEANDER
Practice Address - State:TX
Practice Address - Zip Code:78641-4791
Practice Address - Country:US
Practice Address - Phone:512-589-8588
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-25
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX975646163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health