Organization
EAST TEXAS ANESTHESIA ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD SCOTT COOPER M.D. (PRESIDENT)
(903) 675-1186
Entity
Organization
Contact information
Practice address
2000 S PALESTINE ST, ATHENS, TX 75751-5610
(903) 677-1000
(903) 677-5586
Mailing address
PO BOX 2127, ATHENS, TX 75751-7127
(903) 677-1000
(903) 677-5586
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1108250-02
—
TX
Enumeration date
10/13/2005
Last updated
03/07/2014
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