NPI Lookup
NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

CHARLES E COPPINGER, PA
1500 COOPER ST
FORT WORTH, TX76104-2710
 Phone: 682-885-4405
 Fax: 682-885-4407
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for CHARLES E COPPINGER · (Male)

NPI Number 1003009911
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 08/23/2007
Last updated 02/06/2014 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • TX License # PA04463
  • TX Medicaid 282601801
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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