Tara Latonya Cooper, OTHER
Tara Latonya Cooper, OTHER is an Other Technician in Tyler, Texas. Practices as a sole proprietor. Licensed in Texas.
- Licensed in
- TX
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
1743 Troup HwyTyler, TX 75701-5869
Phone: (903) 363-6208
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Durable Medical Equipment & Medical Supplies (primary) | Taxonomy 332B00000X · Licence 32066800494 (TX) |
|---|---|
| Other Technician | Taxonomy 247200000X |
Record details
| NPI number | 1245857580 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | OTHER |
| Sole proprietor | Yes |
| NPI enumerated | July 2, 2020 |
| Last updated in NPPES | July 13, 2021 |
| Certification date | July 13, 2021 |
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