NPI 1639968241 · live from the CMS NPI Registry
Dylan Mark Cooper, DO
Student in an Organized Health Care Education/Training Program in San Antonio, TX. National Provider Identifier 1639968241, active.
NPI record
| NPI | 1639968241 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Student in an Organized Health Care Education/Training Program 390200000X |
| Practice location | 7703 Floyd Curl Dr, San Antonio, TX 78229 |
| Practice phone | 210-567-7000 |
| Mailing address | 34216 Ridge Rd, Polson, MT 59860 |
| Enumerated | May 1, 2025 |
| Last updated | May 1, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program primary | 390200000X | BP10092231 (TX) |
| Emergency Medicine | 207P00000X | BP10092231 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.