Organization
DR THERESA ANN COOPER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAVEENE COOPER (BILLER)
(918) 299-9779
Entity
Organization
Contact information
Practice address
10131 S YALE AVE, TULSA, OK 74137
(918) 299-9779
(918) 477-2779
Mailing address
10131 S. YALE, TULSA, OK 74137
(918) 299-9779
(918) 477-2779
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3520
OK
Other
Enumeration date
06/29/2007
Last updated
10/03/2007
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