Individual
DANIEL T COOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5750 W VICKERY BLVD STE 104, FORT WORTH, TX 76107-7448
(817) 732-2878
Mailing address
200 W MAGNOLIA AVE STE 201, FT WORTH, TX 76104-7657
(817) 702-2977
(817) 702-2140
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
T5854
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2019
Last updated
02/05/2025
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