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Christopher Cooper, PA

Physician Assistant in Fort Worth, TX. Individual provider (NPI-1).

NPI number1790749570
StatusActive
Last updated in NPPESFeb 16, 2012

Details

NPI
1790749570
Entity type
Individual (NPI-1)
Name
Christopher Cooper
Credential
PA
Sex
Male
Sole proprietor
No
Enumeration date
Apr 17, 2006
Last updated
Feb 16, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician AssistantPA01271TXYes

Practice location

855 Montgomery St
Fort Worth, TX 76107-2553

Phone 817-735-2363 · Fax 817-735-2653

Mailing address

Po Box 99335
Fort Worth, TX 76199-0335

Phone 817-735-2363 · Fax 817-735-2653

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