Individual
KATE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4008 TENNYSON ST, HOUSTON, TX 77005-2748
(347) 803-3246
Mailing address
11511 SHADOW CREEK PKWY, PEARLAND, TX 77584-7298
(713) 442-4997
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
688643
TX
367500000X
Certified Registered Nurse Anesthetist
AP116171
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1880221 01
—
TX
01
—
87957U
BLUE CROSS PROVIDER ID
TX
01
—
PENDING
RAILROAD MEDICARE
—
Enumeration date
07/20/2007
Last updated
11/11/2021
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