Organization
DFW ADVANCED MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEN COOPER DC (DIRECTOR)
(817) 267-6222
Entity
Organization
Contact information
Practice address
2520 HARWOOD RD STE 200, BEDFORD, TX 76021-6709
(817) 267-6222
(817) 545-3488
Mailing address
2520 HARWOOD RD STE 200, BEDFORD, TX 76021-6709
(817) 267-6222
(817) 545-3488
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5246
TX
208D00000X
General Practice Physician
H9976
TX
Other
Enumeration date
01/04/2008
Last updated
11/11/2008
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