Cooper, Idali Barraza

Cooper, Idali Barraza is an individual health care provider with primary practice located at 11331 James Watt Dr Ste 600 , El Paso TX 79936-6401. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Cooper, Idali Barraza can be contacted via phone (915) 838-1400.

Contact Information

Primary practice address
11331 James Watt Dr Ste 600 El Paso TX 79936-6401
Phone: (915) 838-1400
Fax: (915) 838-1406
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X AP137529 Texas
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X AP137529 Texas

Profile Details

NPI number 1639659337
LBN Legal business name Cooper, Idali Barraza
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2018
Last updated Aug 21st, 2018 - about 7 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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