Richard Blake Cooper, ATP

NPI #1104111392 in Irving, Texas

Provider Information

NPI Number
1104111392
Entity Type
Individual
Name
Richard Blake Cooper, ATP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Technician, Other
Credential
ATP
Enumeration Date
Jun 15, 2011
Last Updated
Jun 15, 2011

Practice Location

Address
2930 SKYWAY CIR N
City
Irving
State
Texas
ZIP Code
75038-3509
Phone
(972) 623-7177

Specialties & Taxonomy Codes

Specialty
Technician, Other

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