Larry Joe Cooper (NPI# 1831192574, PAC ID# 0345334355) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1831192574 |
| PAC ID by PECOS | 0345334355 |
| Professional Enrollment ID | I20100805000119 |
| Full Name | Larry Joe Cooper |
| Organization Legal Name | WISE COUNTY MEDICAL AND SURGICAL ASSOCIATION |
| Address |
1001 Eagle Dr Decatur TX 76234-3745 |
| Phone Number | 9406277440 |
| Gender | M |
| Medical School | UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS |
| Graduation Year | 1965 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 8224011374 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1001 Eagle Dr, Decatur, TX 76234-3745 | 9406277440 | WISE COUNTY MEDICAL AND SURGICAL ASSOCIATION |
| Organization Legal Name | WISE COUNTY MEDICAL AND SURGICAL ASSOCIATION |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan Hansford-orsburn | Nurse Practitioner | Wise County Medical and Surgical Association | 1001 Eagle Dr, Decatur, TX 76234-3745 |
| Susan Marie Ogden-mckee | Physician Assistant | Wise County Medical and Surgical Association | 1001 Eagle Dr, Decatur, TX 76234-3745 |
| Sharla J. Carver | Nurse Practitioner | Wise County Medical and Surgical Association | 1001 Eagle Dr, Decatur, TX 76234-3745 |
| Thomas Nelson Long | General Surgery | Wise County Medical and Surgical Association | 1001 Eagle Dr, Decatur, TX 76234-3745 |
| Shawn E Fauver | Nurse Practitioner | Wise County Medical and Surgical Association | 1001 Eagle Dr, Decatur, TX 76234-3745 |
| Susan M Bose | Nurse Practitioner | Wise County Medical and Surgical Association | 1001 Eagle Dr, Decatur, TX 76234-3745 |
| Street Address |
1001 EAGLE DR |
| City | DECATUR |
| State | TX |
| Zip | 76234-3745 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan Hansford-orsburn | Nurse Practitioner | Wise County Medical and Surgical Association | 1001 Eagle Dr, Decatur, TX 76234-3745 |
| Susan Marie Ogden-mckee | Physician Assistant | Wise County Medical and Surgical Association | 1001 Eagle Dr, Decatur, TX 76234-3745 |
| Sharla J. Carver | Nurse Practitioner | Wise County Medical and Surgical Association | 1001 Eagle Dr, Decatur, TX 76234-3745 |
| Thomas Nelson Long | General Surgery | Wise County Medical and Surgical Association | 1001 Eagle Dr, Decatur, TX 76234-3745 |
| Shawn E Fauver | Nurse Practitioner | Wise County Medical and Surgical Association | 1001 Eagle Dr, Decatur, TX 76234-3745 |
| Susan M Bose | Nurse Practitioner | Wise County Medical and Surgical Association | 1001 Eagle Dr, Decatur, TX 76234-3745 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shirley J Jordan | Clinical Psychologist | 506 N Miller St, Decatur, TX 76234-1114 | |
| Tad Billmire | Optometry | 104 S Washburn St, Decatur, TX 76234-1608 | |
| Edward H Fries | Optometry | 303 S Washburn St, Dba Decatur Eye Center, Decatur, TX 76234-1633 | |
| Ronald W Westbrook | Chiropractic | 1700 W Business, Suite 380, Decatur, TX 76234-3232 | |
| Sanjoy Sundaresan | Pain Management | 1100 W Business, 380 Unit F, Decatur, TX 76234-3268 | |
| Joanne Pham | Otolaryngology | Ent and Allergy Clinic Pa | 1600 W Us Business, 380 Suite A, Decatur, TX 76234-3271 |
| Julie Mistic | Qualified Audiologist | Ent and Allergy Clinic Pa | 1600 W Us Business, 380 Suite A, Decatur, TX 76234-3271 |
| Randall W Mckenna | Orthopedic Surgery | North Central Texas Orthopaedics and Sports Medicine Pa | 1713 S Fm, 51 Suite 103, Decatur, TX 76234-3644 |
| Ricky Lynn Childers | Podiatry | North Central Texas Foot and Ankle, LLC | 1713 S Fm, 51 Suite 103, Decatur, TX 76234-3644 |
| Troy B Chandler | Physician Assistant | North Central Texas Orthopaedics and Sports Medicine Pa | 1713 S Fm, 51 Suite 103, Decatur, TX 76234-3644 |
| Find all physicians in zip 76234 | |||
| City | DECATUR |
| Zip Code | 76234 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | DECATUR + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Larry Joe Cooper.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.