Individual
ANTHONY COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4420 ROLLING ROCK DR, PORT ARTHUR, TX 77642-6454
(713) 292-8918
Mailing address
4420 ROLLING ROCK DR, PORT ARTHUR, TX 77642-6454
(713) 292-8918
Taxonomy
Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
09044509
TX
343900000X
Non-emergency Medical Transport (VAN)
Primary
09044509
TX
Other
Enumeration date
06/26/2023
Last updated
06/27/2023
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