Provider Demographics
NPI:1942782586
Name:COOPER, VIVIAN GETER
Entity Type:Individual
Prefix:MRS
First Name:VIVIAN
Middle Name:GETER
Last Name:COOPER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:VIVIAN
Other - Middle Name:ALESIA
Other - Last Name:GETER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LVN
Mailing Address - Street 1:9510 CANTONWOOD CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77044-3000
Mailing Address - Country:US
Mailing Address - Phone:281-415-7767
Mailing Address - Fax:
Practice Address - Street 1:9510 CANTONWOOD CT
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77044-3000
Practice Address - Country:US
Practice Address - Phone:281-415-7767
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
TX146617164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse