Jesse Chad Cooper, DC | |
2600 Electronic Ln, Dallas, TX 75220 | |
(972) 438-6932 | |
(214) 902-3475 |
Full Name | Jesse Chad Cooper |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 12 Years |
Location | 2600 Electronic Ln, Dallas, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932449295 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 4312 (North Carolina) | Secondary |
111N00000X | Chiropractor | 13595 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Baylor Scott & White Medical Center - Round Rock | Round rock, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Scott And White Clinic | 8123923604 | 2143 |
Provider Name | Scott & White Clinic |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1093779704 PECOS PAC ID: 8123923604 Enrollment ID: O20031223000640 |
Provider Name | Parker University |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1669582680 PECOS PAC ID: 7810945466 Enrollment ID: O20050110001086 |
Mailing Address | Practice Location Address |
---|---|
Jesse Chad Cooper, DC Po Box 844658, Dallas, TX 75284-4658 Ph: (254) 724-2111 | Jesse Chad Cooper, DC 2600 Electronic Ln, Dallas, TX 75220 Ph: (972) 438-6932 |
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