Individual provider · NPI-1

Jordan Bond Cooper, C.R.N.A.

Nurse Anesthetist, Certified Registered · Bryan, TX

NPI number1982942066
StatusActive
Last updated in NPPESMar 18, 2019

Details

NPI
1982942066
Entity type
Individual (NPI-1)
Name
Mr. Jordan Bond Cooper
Credential
C.R.N.A.
Sex
Male
Sole proprietor
Yes
Enumeration date
Jan 23, 2013
Last updated
Mar 18, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367500000X Nurse Anesthetist, Certified Registered754677TXYes

Practice location

1737 Briarcrest Dr
Suite 14
Bryan, TX 77802-2769

Phone 979-776-4777

Mailing address

11560 Penick Way
Frisco, TX 75033-1796

Phone 713-416-0218

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