Lillian M Coover, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA02299 Issued in TX

Practice address

3228 I-30
Suite 200
Mesquite, TX 75150-2633

Phone

(972) 216-5400

Fax

(972) 216-5405

NPI assigned

Jul 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Physicians and Allied Health Professionals Group, PA

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1528011814
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325376000000",
    "number": "1790700680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2046 FOREST LN",
            "address_2": "SUITE 130",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750427958",
            "telephone_number": "972-494-4494",
            "fax_number": "972-494-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3228 I-30",
            "address_2": "SUITE 200",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751502633",
            "telephone_number": "972-216-5400",
            "fax_number": "972-216-5405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOVER",
        "first_name": "LILLIAN",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2012-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA02299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182461701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elvira Bucton Constantino
• Marian Boko Conteh
• Candece Cooper-Charles, LPC
• Abigail Cooper, RN
• Ekeoma I Cooper
• John Nelson Copeland
• Cora a Marsaw DDS PA
• Flor Guadalupe Cordova
• Joseph Earl Corley Jr.
• Cornerstone Hospice Care LLC

• Physician Assistant in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2012; 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.