Provider Demographics
NPI:1033475330
Name:COOPER, TYLER NEWELL (MD)
Entity Type:Individual
Prefix:
First Name:TYLER
Middle Name:NEWELL
Last Name:COOPER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 S COULTER ST
Mailing Address - Street 2:STE 501
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79106-0702
Mailing Address - Country:US
Mailing Address - Phone:806-418-2548
Mailing Address - Fax:
Practice Address - Street 1:1600 S COULTER ST
Practice Address - Street 2:STE 501
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-0702
Practice Address - Country:US
Practice Address - Phone:806-418-2548
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-11
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR4531207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery