Individual
OLIVER PRESTON COPELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
D6562
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10019839
AMERIGROUP
TX
05
—
135670102
—
TX
05
—
135670106
—
TX
05
—
135670109
—
TX
01
—
300015119
RAILROAD MEDICARE
TX
01
—
300079682
TRAVELERS MEDICARE
TX
01
—
81R652
BCBS
TX
01
—
82W999
BCBS-STMC
TX
01
—
8DE523
BC/BS #
TX
01
—
MDD6562TX
WORKER'S COMP
TX
Enumeration date
06/16/2005
Last updated
10/22/2012
Update your record
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