Individual
ALEXANDRA NICOLE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGCNS-BC
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 792-6161
Mailing address
P O BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
AP142805
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
404450501
—
TX
01
—
404450502
CSHCN (MEDICAID)
TX
01
—
8LV019
BCBS
TX
Enumeration date
10/09/2019
Last updated
01/27/2020
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