Organization
PARK COOPER MEDICAL P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAVARIA JABEEN D.O. (MEDICAL DIRECTOR)
(682) 777-3627
Entity
Organization
Contact information
Practice address
801 W PARK ROW DR, ARLINGTON, TX 76013-3904
(682) 777-3627
Mailing address
801 W PARK ROW DR, ARLINGTON, TX 76013-3904
(682) 777-3627
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Q2305
TX
261QP2300X
Primary Care Clinic/Center
Primary
Q2305
TX
261QP3300X
Pain Clinic/Center
Q2305
TX
261QU0200X
Urgent Care Clinic/Center
Q2305
TX
Other
Enumeration date
04/03/2016
Last updated
04/03/2016
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