Organization Name: | ANTHONY COOPER |
NPI Number: | 1225138183 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANTHONY COOPER (OWNER) |
Mailing Address: | 2297 Fm 547 Farmersville |
State: | TX US |
Postal Code: | 754426709 |
Phone Number: | 8665087000 |
Fax Number: | 8665087000 |
NPI Enumeration Date: | 09/22/2006 |
NPI Last Update Date: | 03/23/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BP3500X |
License Number: | 0076412 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Parenteral & Enteral Nutrition |
Taxonomy Definition: |