Individual
DR. BRUCE TYRE COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., D.D.S.
Contact information
Practice address
12814 WILLOW CTR, SUITE B, HOUSTON, TX 77066-3038
(281) 453-5300
(281) 453-5302
Mailing address
12814 WILLOW CTR, SUITE B, HOUSTON, TX 77066-3038
(281) 453-5300
(281) 453-5302
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
12953
TX
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
H2317
TX
207Q00000X
Family Medicine Physician
084143
MI
207Q00000X
Family Medicine Physician
H2317
TX
208200000X
Plastic Surgery Physician
Primary
084143
MI
208200000X
Plastic Surgery Physician
H2317
TX
Other
Enumeration date
08/16/2006
Last updated
09/11/2025
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