Provider Demographics
NPI:1003093147
Name:COOPER-DOCKERY, DONA E (MD)
Entity Type:Individual
Prefix:
First Name:DONA
Middle Name:E
Last Name:COOPER-DOCKERY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:D
Other - Middle Name:E
Other - Last Name:COOPER- DOCKERY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:801 E NOLANA AVE
Mailing Address - Street 2:STE 12
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504
Mailing Address - Country:US
Mailing Address - Phone:956-686-8802
Mailing Address - Fax:956-686-3083
Practice Address - Street 1:801 E NOLANA AVE
Practice Address - Street 2:STE 12
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504
Practice Address - Country:US
Practice Address - Phone:956-686-8802
Practice Address - Fax:956-686-3083
Is Sole Proprietor?:No
Enumeration Date:2008-01-30
Last Update Date:2013-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK1800207R00000X
IA31187207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX122026104Medicaid
TX00015NMedicare PIN
TX122026104Medicaid