Provider Demographics
NPI:1871005694
Name:COOPER, KAREN (MSN, AGACNP-BC)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:
Last Name:COOPER
Suffix:
Gender:F
Credentials:MSN, AGACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2401 S. 31ST ST
Mailing Address - Street 2:DIVISION OF CARDIOLOGY, ELECTROPHYSIOLOGY, AND PACING
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76508
Mailing Address - Country:US
Mailing Address - Phone:254-724-1084
Mailing Address - Fax:254-724-5561
Practice Address - Street 1:2401 S. 31ST ST
Practice Address - Street 2:DIVISION OF CARDIOLOGY, ELECTROPHYSIOLOGY, AND PACING
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76508
Practice Address - Country:US
Practice Address - Phone:254-724-1084
Practice Address - Fax:254-724-5561
Is Sole Proprietor?:No
Enumeration Date:2017-11-02
Last Update Date:2021-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP135683363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care