| Dr J W Cooper, Pllc | |
|
500 N Central Expy Ste 260 Plano TX 75074-6772 | |
| (972) 837-6782 | |
| Not Available |
| Full Name | Dr J W Cooper, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 500 N Central Expy, Plano, Texas |
| Authorized Official Name and Position | Jason William Cooper (PSYCHOLOGIST) |
| Authorized Official Contact | 9728376782 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr J W Cooper, Pllc 500 N Central Expy Ste 260 Plano TX 75074-6772 Ph: (972) 837-6782 | Dr J W Cooper, Pllc 500 N Central Expy Ste 260 Plano TX 75074-6772 Ph: (972) 837-6782 |
| NPI Number | 1720483852 |
|---|---|
| Provider Enumeration Date | 10/31/2014 |
| Last Update Date | 10/31/2014 |
| Medicare PECOS PAC ID | 3072831726 |
|---|---|
| Medicare Enrollment ID | O20150409002084 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720483852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 36836 (Texas) | Primary |
| Provider Name | Jason William Cooper |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952793754 PECOS PAC ID: 4981922630 Enrollment ID: I20150409002155 |
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