Mrs Idali Barraza Cooper, PNP - Nurse Practitioner in El Paso, TX

Mrs Idali Barraza Cooper, PNP is a Nurse Practitioner - Pediatrics based in El Paso, Texas. Mrs Idali Barraza Cooper is licensed to practice in Texas (license number AP137529) and her current practice location is 11331 James Watt Dr Ste 600, El Paso, Texas. She can be reached at her office (for appointments etc.) via phone at (915) 838-1400.

NPI number for Mrs Idali Barraza Cooper is 1639659337 and her current mailing address is 849 Mallett St, El Paso, Texas. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1639659337.

Contact Information

Mrs Idali Barraza Cooper, PNP
11331 James Watt Dr Ste 600,
El Paso, TX 79936-6401
(915) 838-1400
(915) 838-1406

Map and Direction




Provider's Profile

Full NameMrs Idali Barraza Cooper
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location11331 James Watt Dr Ste 600, El Paso, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1639659337
  • Provider Enumeration Date: 08/21/2018
  • Last Update Date: 08/21/2018

Medical Identifiers

Medical identifiers for Mrs Idali Barraza Cooper such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639659337NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP2300XNurse Practitioner - Primary Care AP137529 (Texas)Secondary
363LP0200XNurse Practitioner - Pediatrics AP137529 (Texas)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. Mrs Idali Barraza 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 AddressPractice Location Address
Mrs Idali Barraza Cooper, PNP
849 Mallett St,
El Paso, TX 79907-2418

Ph: (915) 248-7928
Mrs Idali Barraza Cooper, PNP
11331 James Watt Dr Ste 600,
El Paso, TX 79936-6401

Ph: (915) 838-1400

Reviews and Comments


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