MEDICARE: COOPER PREMIER SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	343800000X	Secured Medical Transport (VAN)
2	347C00000X	Private Vehicle
3	347E00000X	Transportation Broker
4	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1003741737
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COOPER PREMIER SERVICES LLC

Provider Business Mailing Address
First Line	:	4420 ROLLING ROCK DR
Second Line	:
City	:	PORT ARTHUR
State	:	TX
Zip	:	77642-6454
Country	:	US
Telephone Number	:	409-554-1121
Fax Number	:

Provider Business Practice Location Address
First Line	:	4420 ROLLING ROCK DR
Second Line	:
City	:	PORT ARTHUR
State	:	TX
Zip	:	77642-6454
Country	:	US
Telephone Number	:	409-554-1121
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ANTHONY DARNELL COOPER
Credential	:
Telephone Number	:	409-554-1121

Provider Enumeration Date	:	06/15/2026
Last Update Date	:	06/15/2026

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Directions to “COOPER PREMIER SERVICES LLC ” Practice Location

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