Healthcare Provider Details

I. General information

NPI: 1912836867
Provider Name (Legal Business Name): MITCHELL KEY COOPER FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 LAUREL LN
ARGYLE TX
76226-3731
US

IV. Provider business mailing address

1400 LAUREL LN
ARGYLE TX
76226-3731
US

V. Phone/Fax

Practice location:
  • Phone: 443-844-8001
  • Fax:
Mailing address:
  • Phone: 443-844-8001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number1207860
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: