Coppell Care

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

M7714 Issued in TX

Legal business name

COPPELL CARE

Practice address

651 N Denton Tap Rd Ste 100
Coppell, TX 75019-2010

Phone

(214) 886-8496

NPI assigned

Dec 12, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Manohar Vajja, MD

Title

Physician

Phone

(972) 899-1911

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398643200000",
    "number": "1114358413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 N DENTON TAP RD SUITE 100",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "75019",
            "telephone_number": "972-899-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 N DENTON TAP RD STE 100",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750192010",
            "telephone_number": "214-886-8496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPPELL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-12",
        "last_updated": "2014-04-28",
        "status": "A",
        "authorized_official_last_name": "VAJJA",
        "authorized_official_first_name": "MANOHAR",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "972-899-1911",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "TX",
            "license": "M7714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Cooksey, LPC
• Nolan Richard Coon, PT, DPT
• Bailey Marie Cooper
• Coppell Adult Medicine Specialist
• Coppell Associates in Family Medicine PA
• Coppell Clinic, P.a.
• Coppell Emergency Physician Group PLLC
• Coppell ER LLC
• Coppell ER Physicians PLLC
• Coppell Ercare Facility, L.P.

• Legal Medicine in Coppell, TX
• Providers in Coppell, TX by specialty
• Legal Medicine in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.