Individual
JACKIE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12511 JONES MALTSBERGER RD APT 2205, SAN ANTONIO, TX 78247-4286
(210) 833-7163
(210) 855-7471
Mailing address
12511 JONES MALTSBERGER RD APT 2205, SAN ANTONIO, TX 78247-4286
(210) 833-7163
(210) 855-7471
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/21/2018
Last updated
05/21/2018
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