Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | M6085 | TX |
N | 207NP0225X | Pediatric Dermatologist | M6085 | TX |
N | 207NS0135X | Procedural Dermatology | M6085 | TX |
NPI | 1285839084 |
---|---|
Provider Name | Dr. Rani Michelle Cooper |
First Address | Katy, TX 77494-3596 |
Second Address | Katy, TX 77494-3596 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2007 |
Last Update Date | 19/03/2021 |