Lillian M Coover, PA
Physician Assistant in Mesquite, TX. Individual provider (NPI-1).
NPI number1790700680
StatusActive
Last updated in NPPESJan 1, 2012
Details
- NPI
- 1790700680
- Entity type
- Individual (NPI-1)
- Name
- Lillian M Coover
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 13, 2006
- Last updated
- Jan 1, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA02299 | TX | Yes |
Practice location
3228 I-30Suite 200
Mesquite, TX 75150-2633
Phone 972-216-5400 · Fax 972-216-5405
Mailing address
2046 Forest LnSuite 130
Garland, TX 75042-7958
Phone 972-494-4494 · Fax 972-494-4450
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 26 Physician Assistant providers in Mesquite · All 2,371 providers in Mesquite
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