SearchTexas101YA0400X

Bruce Cooper, LCDC,AADC, NCACII

NPI 1982101127 · on the registry since 2018 · sole proprietor

Practice

Address
1013 Rambler Dr
Waco, TX 76710
Phone
(956) 204-9630

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-04-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas