Individual
CRYSTAL MARIE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP
Contact information
Practice address
920 MEDICAL PLAZA DR, SHENANDOAH, TX 77380-3260
(713) 936-2966
Mailing address
10810 HILLSIDE CREEK DR, HUMBLE, TX 77396-5011
(281) 753-3282
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
1126708
TX
Other
Enumeration date
05/15/2023
Last updated
06/21/2023
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