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:
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Health care specialties

SpecialtyCodeLicense #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 8 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 1396727392 NPPES
Texas MEDICAID 122175602
Texas Other TXB149313
Texas MEDICAID 122175606

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