Individual
MR. JORDAN BOND COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
1737 BRIARCREST DR, SUITE 14, BRYAN, TX 77802-2769
(979) 776-4777
Mailing address
11560 PENICK WAY, FRISCO, TX 75033-1796
(713) 416-0218
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
754677
TX
Other
Enumeration date
01/23/2013
Last updated
03/18/2019
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