Individual
EKEOMA I COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6500 NORTHWEST DR STE 350, MESQUITE, TX 75150-1364
(972) 373-4191
(972) 373-4569
Mailing address
6500 NORTHWEST DR STE 350, MESQUITE, TX 75150-1364
(972) 373-4191
(972) 373-4569
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP137926
TX
363LG0600X
Gerontology Nurse Practitioner
Primary
76499
NM
363LG0600X
Gerontology Nurse Practitioner
AP137926
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
76499
NM
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP137926
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
408712401
—
TX
Enumeration date
02/14/2019
Last updated
07/30/2024
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