Individual
RICHARD BLAKE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATP
Contact information
Practice address
2930 SKYWAY CIR N, IRVING, TX 75038-3509
(972) 623-7177
Mailing address
14045 RAWHIDE PKWY, FARMERS BRANCH, TX 75234-3648
(972) 623-7177
(877) 602-1034
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
06/15/2011
Last updated
06/15/2011
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