Provider Demographics
NPI:1053537357
Name:HOPPE, ROY WALTER (DC)
Entity type:Individual
Prefix:DR
First Name:ROY
Middle Name:WALTER
Last Name:HOPPE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5629 F.M. 1960 WEST
Mailing Address - Street 2:SUITE 126
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77069-4209
Mailing Address - Country:US
Mailing Address - Phone:281-580-5699
Mailing Address - Fax:281-580-7265
Practice Address - Street 1:5629 F.M. 1960 WEST
Practice Address - Street 2:SUITE 126
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77069-4209
Practice Address - Country:US
Practice Address - Phone:281-580-5699
Practice Address - Fax:281-580-7265
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2663111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXT13909Medicare UPIN
TX601002Medicare ID - Type Unspecified