Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 31187 | IA |
N | 111NI0900X | Internist | 31187 | IA |
Y | 207R00000X | Internist | K1800 | TX |
Y | 111NI0900X | Internist | K1800 | TX |
NPI | 1003093147 |
---|---|
Provider Name | Dona E Cooper-Dockery |
First Address | Mcallen, TX 78504 |
Second Address | Mcallen, TX 78504 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2008 |
Last Update Date | 21/10/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
122026104 | (05) | TX |