Cooper, Tara Latonya

Cooper, Tara Latonya is an sole proprietor health care provider with primary practice located at 1743 Troup Hwy , Tyler TX 75701-5869. She recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Technician, Other, Suppliers / Durable Medical Equipment & Medical Supplies. Suppliers / Durable Medical Equipment & Medical Supplies is her primary health care specialty. Cooper, Tara Latonya can be contacted via phone (903) 363-6208.

Contact Information

Primary practice address
1743 Troup Hwy Tyler TX 75701-5869
Phone: (903) 363-6208
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 32066800494 Texas

Profile Details

NPI number 1245857580
LBN Legal business name Cooper, Tara Latonya
Credentials OTHER
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 2nd, 2020
Last updated Jul 13th, 2021 - about 5 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 1245857580 NPPES
Texas Other 32066800494 PERSONAL

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