Active NPI
Cooper Family Practice PLLC
- Family Medicine Physician
- Arlington, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- COOPER FAMILY PRACTICE PLLC
- Practice address
- 3600 S Cooper St Ste 120
Arlington, TX 76015-3406 - Phone
- (817) 987-1414
- Fax
- (817) 987-1425
- NPI assigned
- Feb 2, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Durga Prasad Mekala, MD
- Title
- Owner
- Phone
- (817) 899-0721
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X |
Addresses
Primary practice location
3600 S Cooper St Ste 120
Arlington, TX 76015-3406
Mailing address
945 Deforest Rd
Coppell, TX 75019-2740
Phone (469) 442-9132
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2045804 | Cooper Family Practice PLLC | Certificate of waiver | Aug 20, 2026 |
National Provider Directory
National Provider DirectoryLocations
3600 S Cooper St
Ste 120
Arlington, TX 76015
Phone (817) 899-0721
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Geriatric Medicine (Family Medicine) Physician
- Arlington, TX
- NPI 1235340290
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675296000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1704931200000",
"number": "1376249284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "945 DEFOREST RD",
"city": "COPPELL",
"state": "TX",
"postal_code": "750192740",
"telephone_number": "469-442-9132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 S COOPER ST STE 120",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760153406",
"telephone_number": "817-987-1414",
"fax_number": "817-987-1425"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COOPER FAMILY PRACTICE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-02",
"last_updated": "2024-01-11",
"certification_date": "2024-01-11",
"status": "A",
"authorized_official_last_name": "MEKALA",
"authorized_official_first_name": "DURGA",
"authorized_official_middle_name": "PRASAD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "817-899-0721",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207QG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.