Individual
LENETTA KHALILAH COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15811 RIO DELL DR, HOUSTON, TX 77083-1244
(832) 785-1154
Mailing address
15811 RIO DELL DR, HOUSTON, TX 77083-1244
(832) 785-1154
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
1336731
TX
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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