Individual
CONNER COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3900 BOAT CLUB RD, LAKE WORTH, TX 76135-3201
(817) 237-7161
(817) 237-0966
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-6483
(682) 885-3113
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
T9086
TX
208D00000X
General Practice Physician
5960
OK
Other
Enumeration date
06/19/2015
Last updated
09/21/2022
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