Individual
DR. JENNIFER ANNE LEROM-COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-5302
(409) 643-3266
Mailing address
1912 CHURCH ST, GALVESTON, TX 77550-2026
(713) 876-2637
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
BP2-0030349
TX
Other
Enumeration date
12/10/2009
Last updated
12/10/2009
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