Individual
DR. THOMAS W COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
630 S FLEISHEL AVE, TYLER, TX 75701-2041
(903) 533-1491
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6450
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
D6992
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010064699
MEDICARE RAILROAD
TX
01
—
123038
CHIPS
TX
05
—
141088801
—
TX
01
—
4380144
AETNA
TX
01
—
752616977009
TRICARE CHAMPUS
TX
01
—
752616977010
TRICARE
TX
01
—
752616977015
TRICARE
TX
01
—
CO088865G
BCBS
TX
Enumeration date
02/10/2006
Last updated
10/10/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us