Cooper, Jack Medford

Cooper, Jack Medford is an individual health care provider with primary practice located at 634 Uptown Blvd , Cedar Hill TX 75104-3529. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Cooper, Jack Medford can be contacted via phone (972) 637-1300.

Contact Information

Primary practice address
634 Uptown Blvd Cedar Hill TX 75104-3529
Phone: (972) 637-1300
Fax: (866) 353-7586
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X F2614 Texas

Profile Details

NPI number 1730274457
LBN Legal business name Cooper, Jack Medford
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Dec 29th, 2011 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730274457 NPPES
Other 751622524 UNITED HEALTHCARE
Other 86770X UNITED HEALTHCARE
Other 0612336 UNITED HEALTHCARE
Other 0612336 UNITED HEALTHCARE
Other 0016DQ UNITED HEALTHCARE
MEDICAID 112288904 UNITED HEALTHCARE
MEDICAID 112288905 UNITED HEALTHCARE
Other 2314758 UNITED HEALTHCARE
Other 180011221 UNITED HEALTHCARE
Other 180032049 UNITED HEALTHCARE
Other 4237247 UNITED HEALTHCARE

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