Individual
CHRISTOPHER ROYCE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9701 HARMON RD STE 141, FORT WORTH, TX 76177-7521
(817) 306-5630
(817) 306-5631
Mailing address
10840 TEXAS HEALTH TRL, STE 250, FORT WORTH, TX 76244-6846
(817) 306-5630
(817) 306-5631
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD20050148
NM
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
N2451
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213337301
—
TX
05
—
213337302
—
TX
Enumeration date
08/04/2006
Last updated
11/19/2019
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