Individual
CODY RAY COPELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
2600 SAINT MICHAEL DR, TEXARKANA, TX 75503-2372
(903) 614-5001
Mailing address
13797 HIGHWAY 71, FOUKE, AR 71837-9772
(903) 826-4179
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1074218
TX
Other
Enumeration date
05/03/2022
Last updated
05/03/2022
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