MEDICARE: DR. ROBERT 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	207Q00000X	Family Medicine Physician	Q1381	TX

General Provider Information

NPI Number	:	1780927707
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT COOPER M.D.

Provider Business Mailing Address
First Line	:	PO BOX 312
Second Line	:
City	:	PEASTER
State	:	TX
Zip	:	76485-0312
Country	:	US
Telephone Number	:	972-832-4218
Fax Number	:

Provider Business Practice Location Address
First Line	:	750 EUREKA ST STE D
Second Line	:
City	:	WEATHERFORD
State	:	TX
Zip	:	76086-6521
Country	:	US
Telephone Number	:	817-550-6230
Fax Number	:

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

Provider Enumeration Date	:	03/27/2013
Last Update Date	:	02/24/2026

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