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Individual

BID ALLEN COOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1700 COGDELL BLVD, SNYDER, TX 79549
(325) 573-1300
(325) 573-6985
Mailing address
1700 COGDELL BLVD, SNYDER, TX 79549-6162
(325) 574-7437
(325) 574-7433

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
F6184
TX
207VX0000X
Obstetrics Physician
F6184
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
130353907
TX
05
130353909
TX
Enumeration date
04/18/2006
Last updated
06/14/2024
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