MEDICARE: DR. JAMES B. COOPER 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
1	174400000X	Specialist
2	207K00000X	Allergy & Immunology Physician	E8403	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8F8086	OTHER	TX	BCBC

General Provider Information

NPI Number	:	1639118482
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES B. COOPER M.D.

Provider Business Mailing Address
First Line	:	12606 W HOUSTON CENTER BLVD STE 260
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77082-2790
Country	:	US
Telephone Number	:	713-596-8526
Fax Number	:	713-596-8560

Provider Business Practice Location Address
First Line	:	1140A CLEAR LAKE CITY BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77062-8103
Country	:	US
Telephone Number	:	281-461-3300
Fax Number	:	281-461-3301

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/06/2006
Last Update Date	:	04/23/2019

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