Provider Demographics
NPI:1003398694
Name:COPE, RICHARD H (LVN)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:H
Last Name:COPE
Suffix:
Gender:M
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 COTTONWOOD LOOP
Mailing Address - Street 2:
Mailing Address - City:BELTON
Mailing Address - State:TX
Mailing Address - Zip Code:76513-9236
Mailing Address - Country:US
Mailing Address - Phone:243-231-9593
Mailing Address - Fax:
Practice Address - Street 1:113 COTTONWOOD LOOP
Practice Address - Street 2:
Practice Address - City:BELTON
Practice Address - State:TX
Practice Address - Zip Code:76513-9236
Practice Address - Country:US
Practice Address - Phone:254-231-9593
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-30
Last Update Date:2018-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX198748164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX05798669OtherDRIVERS LICENSE