Organization
COOPER ADVANCED PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRENT COOPER NP (OWNER)
(936) 242-9809
Entity
Organization
Contact information
Practice address
18230 FM 1488 RD, SUITE 328, MAGNOLIA, TX 77354-4528
(936) 242-9809
(832) 460-2685
Mailing address
26702 STAGECOACH CROSSING DR, MAGNOLIA, TX 77355-2198
(936) 242-9809
(832) 460-2685
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
666237
TX
Other
Enumeration date
10/17/2011
Last updated
07/09/2012
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