Healthcare Provider Details

I. General information

NPI: 1497635254
Provider Name (Legal Business Name): COOPER DOCKERY HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2025
Last Update Date: 09/03/2025
Certification Date: 09/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4108 N 10TH ST STE 100
MCALLEN TX
78504-7558
US

IV. Provider business mailing address

801 E NOLANA AVE STE 12
MCALLEN TX
78504-6112
US

V. Phone/Fax

Practice location:
  • Phone: 956-731-4484
  • Fax:
Mailing address:
  • Phone: 956-627-3706
  • Fax: 956-627-2345

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code335G00000X
TaxonomyMedical Foods Supplier
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State

VIII. Authorized Official

Name: DONA ELANE COOPER-DOCKERY
Title or Position: PHYSICIAN
Credential: MD
Phone: 956-529-6619