Andrea C Cooley
Cardiothoracic Vascular Surgeon
700 Olympic Plaza Cir Ste 508
Tyler
, Texas 75701-1952
Andrea C Cooley
Cardiothoracic Vascular Surgeon
700 Olympic Plaza Cir Ste 508
Tyler
, Texas 75701-1952
(903) 509-5835
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About
Features
Specialties
- Cardiothoracic Vascular Surgeon
Languages spoken
- English
Location
First Address
- Andrea C Cooley
- Po Box 130549
- Tyler, TX
- Zip : 75713-0549
- Fax : (903) 509-5835
- Phone : (903) 579-3931
Second Address
- Andrea C Cooley
- 700 Olympic Plaza Cir Ste 508
- Tyler, TX
- Zip : 75701-1952
- Fax : (903) 592-1934
- Phone : (903) 595-6680
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208G00000X | Cardiothoracic Vascular Surgeon | P9320 | TX |
National Provider Identifier
| NPI | 1003070483 |
|---|---|
| Provider Name | Andrea C Cooley |
| First Address | Tyler, TX 75713-0549 |
| Second Address | Tyler, TX 75701-1952 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/07/2008 |
| Last Update Date | 12/03/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.