| Cooper Street Medical Clinic | |
|
2360 Fm 157 N Mansfield TX 76063-7540 | |
| (817) 453-2123 | |
| (817) 453-2151 |
| Full Name | Cooper Street Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 2360 Fm 157 N, Mansfield, Texas |
| Authorized Official Name and Position | Doyle F Gallman (PHYSICIAN) |
| Authorized Official Contact | 8174532123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cooper Street Medical Clinic 2360 Fm 157 N Mansfield TX 76063-7540 Ph: (817) 453-2123 | Cooper Street Medical Clinic 2360 Fm 157 N Mansfield TX 76063-7540 Ph: (817) 453-2123 |
| NPI Number | 1578618492 |
|---|---|
| Provider Enumeration Date | 01/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578618492 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | H2931 (Texas) | Primary |
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