| Doctor Name: | RICHARD TODD COOPER |
| NPI Number: | 1003151945 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | NP |
| License Number: | AP07104 |
| Business Practice Address: | 1001 Gause Blvd Slidell, LA - 704582939 |
| Business Phone Number: | 9856432200 |
| Business Fax Number: | |
| Mailing Address: | 1001 Gause Blvd, SLIDELL |
| State: | LA |
| Postal Code: | 70458 |
| Phone Number: | 9856432200 |
| Fax Number: | |
| NPI Enumeration Date: | 12/04/2012 |
| NPI Last Update Date: | 12/08/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2100X |
| License Number: | AP07104 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |