Individual
MR. JEFFREY RUSSELL COPELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
379 FM 2972 W, RUSK, TX 75785-3666
(903) 683-5781
Mailing address
PO BOX 665, ELKHART, TX 75839
(903) 683-5781
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 01882
TX
Other
Enumeration date
12/01/2005
Last updated
02/18/2015
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