Organization
PAIN MANAGEMENT ASSOCIATES OF EAST TEXAS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD SCOTT COOPER M.D. (PRESIDENT)
(903) 675-1186
Entity
Organization
Contact information
Practice address
300 WILLOW CREEK PKWY, SUITE 130, PALESTINE, TX 75801-4421
(903) 723-2465
(903) 677-1694
Mailing address
PO BOX 2427, PALESTINE, TX 75802-2427
(903) 723-2465
(903) 677-1694
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1709560-01
—
TX
Enumeration date
10/13/2005
Last updated
03/07/2014
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