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General NPI Number Information
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NPI Number | 1255323770
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Entity Type | Individual
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Provider Name | JOHN COOPER HOWARD M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/19/2005
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Last Update Date | 04/29/2016
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Provider Practice Location Address
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Address Line | 1 MEDICAL CENTER D ONE MEDICAL CENTER DR.
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City | CLARENDON
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State | TX
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Zip | 79226-0300
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Country | US
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Telephone | 806-874-3531
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Fax | 806-874-2244
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Provider Business Mailing Address
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Address Line | PO BOX K ONE MEDICAL CENTER DRIVE
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City | CLARENDON
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State | TX
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Zip | 79226-0300
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Country | US
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Telephone | 806-874-3531
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Fax | 806-874-2244
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | G-6309
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License Number State | TX
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