Individual
AMY M COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1102 BATES AVE, HOUSTON, TX 77030-2617
(832) 824-1000
Mailing address
1321 UPLAND DR # 4955, HOUSTON, TX 77043-4718
(623) 308-4447
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
38607
KY
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
U8474
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6409044200
—
KY
Enumeration date
12/02/2005
Last updated
02/29/2024
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