Individual
DR. M BRETT COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5323 HARRY HINES BOULEVARD, DALLAS, TX 75390
(214) 648-5079
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 648-5079
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Q4928
TX
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
Q4928
TX
2080P0006X
Developmental - Behavioral Pediatrics Physician
Q4928
TX
Other
Enumeration date
04/06/2012
Last updated
08/07/2018
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