Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Copper Ridge Medical PA

Organization Clinic/Center · NPI 1750557641

Copper Ridge Medical PA is a Clinic/Center in Georgetown, Texas. Licensed in Texas. Registered with an NPI since 2008.

Licensed in
TX
In the registry since
2008
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7600 Highway 29 W Ste #5
Georgetown, TX 78628-6937
Phone: (512) 930-0363
Fax: (512) 930-0371
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence G1494 (TX)

Record details

NPI number1750557641
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ann Nolen — Owner · (512) 930-0363
NPI enumeratedMay 1, 2008
Last updated in NPPESJune 17, 2009
Mailing address7600 Highway 29 W, Ste #5, Georgetown, TX 78628-6937

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