Individual
CHEYENNA COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
819 N BROADWAY ST, ASPERMONT, TX 79502-2029
(940) 989-2875
Mailing address
1466 COUNTY ROAD 270, MC CAULLEY, TX 79534-2016
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP143817
TX
Other
Enumeration date
11/13/2019
Last updated
11/13/2019
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