Cooper, Jimmy W

Cooper, Jimmy W is an individual health care provider with primary practice located at 3501 S Soncy Rd Suite 118, Amarillo TX 79119-6407. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Cooper, Jimmy W can be contacted via phone (806) 359-7999.

Contact Information

Primary practice address
3501 S Soncy Rd Suite 118 Amarillo TX 79119-6407
Phone: (806) 359-7999
Fax: (806) 355-7598
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 233573 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R20232 New Mexico

Profile Details

NPI number 1104936996
LBN Legal business name Cooper, Jimmy W
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jan 29th, 2008 - about 16 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 1104936996 NPPES
Texas Other 85849U BLUE CROSS & BLUE SHIELD

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