Cooper, Alexandra Nicole

Cooper, Alexandra Nicole is an individual health care provider with primary practice located at 1515 Holcombe Blvd , Houston TX 77030-4000. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Cooper, Alexandra Nicole can be contacted via phone (713) 792-6161.

Contact Information

Primary practice address
1515 Holcombe Blvd Houston TX 77030-4000
Phone: (713) 792-6161
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 364SG0600X AP142805 Texas

Profile Details

NPI number 1548802754
LBN Legal business name Cooper, Alexandra Nicole
Credentials AGCNS-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2019
Last updated Jan 27th, 2020 - about 4 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 1548802754 NPPES
Texas Other 404450502 CSHCN (MEDICAID)
Texas MEDICAID 404450501 CSHCN (MEDICAID)
Texas Other 8LV019 CSHCN (MEDICAID)

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