Individual
MR. MATTHEW GARRETT COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2201 W. LAMPASAS STREET, ENNIS, TX 75119
(972) 875-0900
(469) 256-2163
Mailing address
2201 W. LAMPASAS STREET, ENNIS, TX 75119
(972) 875-0900
(469) 256-2163
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
733188
TX
Other
Enumeration date
01/11/2013
Last updated
03/13/2015
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