Organization
COOPER MEDICAL SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNNY CHANDASACK (MEMBER)
(817) 586-4422
Entity
Organization
Contact information
Practice address
5601 BRIDGE ST STE 300, FORT WORTH, TX 76112-2355
(817) 586-4422
Mailing address
5601 BRIDGE ST STE 300, FORT WORTH, TX 76112-2355
(817) 586-4422
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/02/2017
Last updated
07/21/2022
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