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Organization

HEALTHSOURCE OF COPPERFIELD, LLC

Active
Other names
HealthSource Chiropractic and Progressive Rehab
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ELIZABETH SMITH COOK DC (OWNER)
(214) 519-1755
Entity
Organization

Contact information

Practice address
8711 HIGHWAY 6 N STE 210, HOUSTON, TX 77095-2272
(281) 858-4446
Mailing address
8925 HIGHWAY 6 N, SUITE 200, HOUSTON, TX 77095-2457
(281) 858-4446

Taxonomy

Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
11457
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
410526ZK5A
MEDICARE PTAN
TX
Enumeration date
06/17/2016
Last updated
10/03/2018
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