Coover, Lillian M

Coover, Lillian M is an individual health care provider with primary practice located at 3228 I-30 Suite 200, Mesquite TX 75150-2633. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Coover, Lillian M can be contacted via phone (972) 216-5400.

Contact Information

Primary practice address
3228 I-30 Suite 200 Mesquite TX 75150-2633
Phone: (972) 216-5400
Fax: (972) 216-5405
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA02299 Texas

Profile Details

NPI number 1790700680
LBN Legal business name Coover, Lillian M
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Jan 1st, 2012 - about 14 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 1790700680 NPPES
Texas MEDICAID 182461701

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