Individual
SHADDAY COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
612 DAVIS ST, TAYLOR, TX 76574-2729
(512) 352-2330
Mailing address
2100 SCENIC DR STE 140, GEORGETOWN, TX 78626-7720
(512) 713-9886
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/05/2025
Last updated
09/05/2025
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