Individual
JAMES LLOYD COPELAND JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 RICHLAND WEST CIR, WACO, TX 76712-7932
(254) 537-6200
(254) 754-2666
Mailing address
301 RICHLAND WEST CIR, WACO, TX 76712-7932
(254) 537-6200
(254) 537-6201
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D9402
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00N59X
MEDICARE & BCBS GROUP #
TX
01
—
084249401
MEDICAID GROUP #
TX
05
—
113992501
—
TX
05
—
113992504
—
TX
01
—
8BM493
BCBS
TX
Enumeration date
02/15/2006
Last updated
09/23/2015
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