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NPI Code Detail

MEDICARE: DR. EDDIE LEE COPELIN II M.D.

MEDICARE:  DR. EDDIE LEE COPELIN II M.D.
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1207RG0100XGastroenterology PhysicianW1403TX
2207R00000XInternal Medicine PhysicianLP03519RI
3207RG0100XGastroenterology Physician0NY

General Provider Information

NPI Number : 1063894343
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EDDIE LEE COPELIN II M.D.
Provider Business Mailing Address
First Line : PO BOX 840020
Second Line :
City : DALLAS
State : TX
Zip : 75284-0020
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6700 W 9TH AVE
Second Line :
City : AMARILLO
State : TX
Zip : 79106-1701
Country : US
Telephone Number : 806-358-0200
Fax Number : 806-356-5590
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2015
Last Update Date : 01/22/2026

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Directions to “ DR. EDDIE LEE COPELIN II M.D.” Practice Location

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