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Individual

DR. DOUGLAS BRENDON COOPER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
3851 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4501
(210) 916-3955
(210) 916-4040
Mailing address
125 CLOVERLEAF AVE, SAN ANTONIO, TX 78209-3818
(210) 824-2246

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
32263
TX

Other

Enumeration date
01/09/2006
Last updated
07/08/2007
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