Charles Derick Cooper, NP
NPI #1124728779 in Gun Barrel City, Texas
Provider Information
- NPI Number
- 1124728779
- Entity Type
- Individual
- Name
- Charles Derick Cooper, NP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner
- Credential
- NP
- Enumeration Date
- Mar 2, 2023
- Last Updated
- Dec 20, 2023
Practice Location
- Address
- 126 W MAIN ST
- City
- Gun Barrel City
- State
- Texas
- ZIP Code
- 75156-5403
- Phone
- (903) 887-1092
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
| Nurse Practitioner |
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