Healthcare Provider Details

I. General information

NPI: 1598015794
Provider Name (Legal Business Name): KAREN ELIZABETH COOPER RN, NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2012
Last Update Date: 09/14/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6807 EMMETT F LOWRY EXPY STE 305
TEXAS CITY TX
77591-2548
US

IV. Provider business mailing address

6807 EMMETT F LOWRY EXPY STE 305
TEXAS CITY TX
77591-2548
US

V. Phone/Fax

Practice location:
  • Phone: 409-934-8687
  • Fax: 409-934-8689
Mailing address:
  • Phone: 409-934-8687
  • Fax: 409-934-8689

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number569012
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: