Dr Bruce Tyre Cooper, MD, DDS is a
Plastic Surgery based in Houston, Texas. Dr Bruce Tyre Cooper is licensed to practice in Michigan (license number 084143) and his current practice location is
12814 Willow Ctr, Suite B, Houston, Texas. He can be reached at his office (for appointments etc.) via phone at
(281) 453-5300.
NPI number for Dr Bruce Tyre Cooper is 1710090758 and his current mailing address is 12814 Willow Ctr, Suite B, Houston, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1710090758.
Healthcare Provider's Profile
| Full Name | Dr Bruce Tyre Cooper |
|---|
| Gender | Male |
|---|
| Speciality | Plastic Surgery |
|---|
| Location | 12814 Willow Ctr, Houston, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1710090758
- Provider Enumeration Date: 08/16/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Bruce Tyre Cooper such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710090758 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 12953 (Texas) | Primary |
| 204E00000X | Oral & Maxillofacial Surgery | H2317 (Texas) | Primary |
| 207Q00000X | Family Medicine | H2317 (Texas) | Primary |
| 207Q00000X | Family Medicine | 084143 (Michigan) | Primary |
| 208200000X | Plastic Surgery | H2317 (Texas) | Primary |
| 208200000X | Plastic Surgery | 084143 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Bruce Tyre Cooper is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Bruce Tyre Cooper, MD, DDS
12814 Willow Ctr, Suite B,
Houston, TX 77066-3038
Ph: (281) 453-5300 | Dr Bruce Tyre Cooper, MD, DDS
12814 Willow Ctr, Suite B,
Houston, TX 77066-3038
Ph: (281) 453-5300 |
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