Provider Demographics
NPI:1306013784
Name:COOPER, DHAVID
Entity Type:Individual
Prefix:DR
First Name:DHAVID
Middle Name:
Last Name:COOPER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3100 S GESSNER RD
Mailing Address - Street 2:STE 329
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-3760
Mailing Address - Country:US
Mailing Address - Phone:713-914-0011
Mailing Address - Fax:713-789-5464
Practice Address - Street 1:3100 S GESSNER RD
Practice Address - Street 2:STE 329
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-3760
Practice Address - Country:US
Practice Address - Phone:713-914-0011
Practice Address - Fax:713-789-5464
Is Sole Proprietor?:No
Enumeration Date:2008-05-14
Last Update Date:2008-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX03122T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX12770Medicare UPIN