Individual
JON COOPER WALL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17580 INTERSTATE 45 S, THE WOODLANDS, TX 77384-4972
(936) 267-5000
Mailing address
17580 INTERSTATE 45 S, THE WOODLANDS, TX 77384-4972
(936) 267-5000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
BP10059625
TX
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
U5836
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
TX
Other
Enumeration date
06/23/2017
Last updated
08/21/2023
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