Individual
DR. DEBORAH LEE COOPER-NEWLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS PLLC
Contact information
Practice address
5001 BISSONNET ST, STE 103, BELLAIRE, TX 77401-4015
(713) 592-9336
(713) 592-9337
Mailing address
5001 BISSONNET ST, STE 103, BELLAIRE, TX 77401-4015
(713) 592-9336
(713) 592-9337
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
17793
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17793
STATE LICENSE
TX
01
—
760445216
TAX ID
—
01
—
D17793
BCBS ID
TX
Enumeration date
06/20/2005
Last updated
01/20/2017
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