Individual
MR. JASON PAUL COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3601 4TH ST, LUBBOCK, TX 79430-9410
(806) 743-3150
(806) 743-3168
Mailing address
PO BOX 5865, LUBBOCK, TX 79408-5865
(806) 743-3150
(806) 743-3168
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA04995
TX
Other
Enumeration date
11/05/2006
Last updated
03/09/2016
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