Fuqua, Burcham Cooper
Fuqua, Burcham Cooper is an individual health care provider with primary practice located at 3434 Saratoga Blvd , Corpus Christi TX 78415-5822. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Fuqua, Burcham Cooper can be contacted via phone (361) 985-9355.Contact Information
Primary practice address
3434 Saratoga Blvd
Corpus Christi TX 78415-5822
Phone: (361) 985-9355
Fax: (361) 992-3458
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | F9456 | Texas |
Profile Details
| NPI number | 1396727392 |
|---|---|
| LBN Legal business name | Fuqua, Burcham Cooper |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 16th, 2005 |
| Last updated | Jul 14th, 2016 - about 10 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 | 1396727392 | NPPES |
| Texas | MEDICAID | 122175602 | |
| Texas | Other | TXB149313 | |
| Texas | MEDICAID | 122175606 |
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