Cooper Clinic PA

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

Legal business name

COOPER CLINIC PA

Practice address

12200 Preston Rd
Dallas, TX 75230-2223

Phone

(972) 560-2667

Fax

(972) 239-6649

NPI assigned

Jul 25, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Robert M Nelson Jr.

Title

Administrator

Phone

(972) 560-2667

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1588686547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12200 PRESTON RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302223",
            "telephone_number": "972-560-2667",
            "fax_number": "972-239-6649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 PRESTON RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302223",
            "telephone_number": "972-560-2667",
            "fax_number": "972-239-6649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOPER CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "972-560-2667",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00L286",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Cooney, CRNA
• Michael Chad Cooney, CRNA
• Teresa Cooney, OPA-C
• Bailey Anne Coons, CRNA
• Leslie Coons, PHARMD
• Cooper Cosmetic & Restorative Dentistry, PA
• Avonda Cooper-Atumu
• Anthony Cooper
• Barry Cooper, M.D.
• Brenda Joyce Cooper, RN

• Public Health & General Preventive Medicine Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Public Health & General Preventive Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.