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Individual
DR. THOMAS W COOPER
Active
Individual
DR. THOMAS W COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
D6992
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010064699
MEDICARE RAILROAD
TX
01
—
123038
CHIPS
TX
05
—
141088801
—
TX
01
—
4380144
AETNA
TX
01
—
752616977009
TRICARE CHAMPUS
TX
01
—
752616977010
TRICARE
TX
01
—
752616977015
TRICARE
TX
01
—
CO088865G
BCBS
TX
Enumeration date
02/10/2006
Last updated
10/10/2014
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