Individual
JOHN DARREN COPEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1204 N MOUND ST, NACOGDOCHES, TX 75961-4027
(936) 569-4164
Mailing address
6649 FM 1878, NACOGDOCHES, TX 75961-0847
(318) 518-7407
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
761225
TX
Other
Enumeration date
01/12/2009
Last updated
10/10/2014
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