Individual
MR. TERRY KEITH COOPER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPHT
Contact information
Practice address
800 E ALTON GLOOR BLVD UPPR B, BROWNSVILLE, TX 78526-4296
(956) 525-7759
(956) 525-7721
Mailing address
26357 MEREDITH STREET, LA FERIA, TX 78559
(956) 202-1594
(956) 525-7721
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
117327
TX
Other
Enumeration date
05/10/2010
Last updated
04/17/2018
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