Individual
DENNIS COPENHAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
4504 BOAT CLUB RD, SUITE 800, FORT WORTH, TX 76135-7003
(817) 237-0515
(817) 237-8982
Mailing address
4504 BOAT CLUB RD, SUITE 800, FORT WORTH, TX 76135-7003
(817) 237-0515
(817) 237-8982
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01826
TX
Other
Enumeration date
08/28/2006
Last updated
07/08/2007
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