| Mr Matthew Garrett Cooper, CRNA | |
|
2201 W. Lampasas Street, Ennis, TX 75119 | |
| (972) 875-0900 | |
| (469) 256-2163 |
| Full Name | Mr Matthew Garrett Cooper |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 2201 W. Lampasas Street, Ennis, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164769139 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 733188 (Texas) | Primary |
| Entity Name | Moore County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700991700 PECOS PAC ID: 1254226269 Enrollment ID: O20040430000610 |
| Entity Name | Westlake Anesthesia Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679511307 PECOS PAC ID: 4981607405 Enrollment ID: O20060822000436 |
| Entity Name | Anesthesia Medical Group Of The Permian Basin, Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669596672 PECOS PAC ID: 6901999176 Enrollment ID: O20070904000322 |
| Entity Name | Bhs Physicians Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598958431 PECOS PAC ID: 7315019593 Enrollment ID: O20080703000069 |
| Entity Name | Oec Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437443157 PECOS PAC ID: 4082887989 Enrollment ID: O20111108000790 |
| Entity Name | Emergenchealth Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467970897 PECOS PAC ID: 1355606641 Enrollment ID: O20180608000439 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Matthew Garrett Cooper, CRNA 2201 W. Lampasas Street, Ennis, TX 75119 Ph: (972) 875-0900 | Mr Matthew Garrett Cooper, CRNA 2201 W. Lampasas Street, Ennis, TX 75119 Ph: (972) 875-0900 |
Roger A Frost, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 803 W Lampasas St, Ennis, TX 75119 Phone: 972-875-0900 | |
Mr. Bryan K Daniels, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2201 W Lampasas St, Ennis, TX 75119 Phone: 972-875-0900 | |
Mr. Ross Alan Nickoley, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 2201 West Lampasasas St, Ennis Regional Medical Center, Ennis, TX 75119 Phone: 972-875-0900 Fax: 469-256-2459 |