Individual
DR. THERESA ANN COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
10131 S YALE AVE, TULSA, OK 74137-6002
(918) 369-6274
(918) 369-6278
Mailing address
10131 S YALE AVE, TULSA, OK 74137-6002
(918) 369-6274
(918) 369-6278
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3520
OK
Other
Enumeration date
03/25/2006
Last updated
10/05/2007
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