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Individual

MICHAEL RICHARD KOOP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7710 BEECHNUT ST, SUITE 100, HOUSTON, TX 77074-3100
(713) 777-7145
(713) 337-4803
Mailing address
7710 BEECHNUT ST, SUITE 100, HOUSTON, TX 77074-3100
(713) 777-7145
(713) 337-4803

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
L0350
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
119157903
TX
Enumeration date
05/11/2006
Last updated
06/04/2012
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