Provider Demographics
NPI:1235346529
Name:COOPER, ESTHER NICHOLAS (MD)
Entity Type:Individual
Prefix:DR
First Name:ESTHER
Middle Name:NICHOLAS
Last Name:COOPER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:E.
Other - Middle Name:NICOLE
Other - Last Name:COOPER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:12740 HILLCREST ROAD
Mailing Address - Street 2:SUITE 280
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-2074
Mailing Address - Country:US
Mailing Address - Phone:214-368-8800
Mailing Address - Fax:214-368-8822
Practice Address - Street 1:12740 HILLCREST ROAD
Practice Address - Street 2:SUITE 280
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-2074
Practice Address - Country:US
Practice Address - Phone:214-368-8800
Practice Address - Fax:214-368-8822
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2011-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK64542084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry