Dr Thomas W Cooper, MD | |
630 S Fleishel Ave, Tyler, TX 75701-2041 | |
(903) 533-1491 | |
Not Available |
Full Name | Dr Thomas W Cooper |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Location | 630 S Fleishel Ave, Tyler, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770556516 | NPI | - | NPPES |
010064699 | Other | TX | MEDICARE RAILROAD |
123038 | Other | TX | CHIPS |
752616977015 | Other | TX | TRICARE |
752616977010 | Other | TX | TRICARE |
4380144 | Other | TX | AETNA |
141088801 | Medicaid | TX | |
752616977009 | Other | TX | TRICARE CHAMPUS |
CO088865G | Other | TX | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | D6992 (Texas) | Primary |
Entity Name | Christus Trinity Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091 |
Mailing Address | Practice Location Address |
---|---|
Dr Thomas W Cooper, MD Po Box 846098, Dallas, TX 75284-6098 Ph: (903) 324-6450 | Dr Thomas W Cooper, MD 630 S Fleishel Ave, Tyler, TX 75701-2041 Ph: (903) 533-1491 |
Dr. Monica Jane Hardee, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1136 E Grande Blvd, Tyler, TX 75703 Phone: 903-592-5601 Fax: 903-595-3304 | |
Timothy Dale, Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1136 E Grande Blvd, Tyler, TX 75703 Phone: 903-592-5601 | |
James Dan Toney, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 630 S Fleishel Ave, Tyler, TX 75701 Phone: 903-533-1491 | |
Christopher A Perro, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2210 Three Lakes Pkwy Ste 100, Tyler, TX 75703 Phone: 903-747-4050 Fax: 903-747-4075 | |
Scott Fraser Kohlert, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 910 E Houston St Ste 530, Tyler, TX 75702 Phone: 903-606-4300 | |
Howard Scott Garb, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 1136 E Grande Blvd, Tyler, TX 75703 Phone: 903-592-5601 Fax: 903-595-3304 | |
John Franklin Hudnall, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 3413 Golden Rd, Tyler, TX 75701 Phone: 903-592-5601 Fax: 903-595-3304 |