# LARRY J. COOPER, MD

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578694030
- **Authorized official:** LARRY J COOPER MD (OWNER)
- **Authorized official phone:** (940) 627-7443

## Contact information

- **Practice address:** 1001 W EAGLE DR, DECATUR, TX 76234-3745
- **Practice address phone:** (940) 627-7443
- **Practice address fax:** (940) 627-7464
- **Mailing address:** 1001 W EAGLE DR, DECATUR, TX 76234-3745
- **Mailing address phone:** (940) 627-7443
- **Mailing address fax:** (940) 627-7464

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | D2400 | TX | Yes |

## Other

- **Enumeration date:** 03/08/2007
- **Last updated:** 08/22/2020