Cooper, Ekeoma I
Cooper, Ekeoma I is an sole proprietor health care provider with primary practice located at 6500 Northwest Dr Ste 350 , Mesquite TX 75150-1364. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Cooper, Ekeoma I can be contacted via phone (972) 373-4191.Contact Information
Primary practice address
6500 Northwest Dr Ste 350
Mesquite TX 75150-1364
Phone: (972) 373-4191
Fax: (972) 373-4569
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | AP137926 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | AP137926 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | AP137926 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 76499 | New Mexico |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 76499 | New Mexico |
Profile Details
| NPI number | 1578029534 |
|---|---|
| LBN Legal business name | Cooper, Ekeoma I |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 14th, 2019 |
| Last updated | Jul 30th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578029534 | NPPES |
| Texas | MEDICAID | 408712401 |
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