Individual
JESSICA COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
621 HENDERSON ST, JOSHUA, TX 76058-3178
(817) 879-5445
Mailing address
621 HENDERSON ST, JOSHUA, TX 76058-3178
(817) 879-5445
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
180281
TX
Other
Enumeration date
03/22/2018
Last updated
03/22/2018
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