| Organization Name: | VERICARE OF TEXAS, P.A. |
| NPI Number: | 1033160825 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | THOMAS COOPER (OWNER) |
| Mailing Address: | 24025 Kingwood Place Dr Kingwood |
| State: | TX US |
| Postal Code: | 773393862 |
| Phone Number: | 8002578715 |
| Fax Number: | 8008191655 |
| NPI Enumeration Date: | 05/15/2006 |
| NPI Last Update Date: | 03/16/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |