Dennis Copenhaver in Fort Worth - Physician Assistant
Dennis Copenhaver - NPI 1114035375
Dennis Copenhaver is a Physician Assistant in Fort Worth, Texas. Dennis Copenhaver practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Dennis Copenhaver is 1114035375. The last update date is 2007-07-08.
Dennis Copenhaver's current location address is 4504 Boat Club Rd, Fort Worth, Texas. You can contact this provider via phone number 8172370515 and fax number 8172378982. The mailing address for Dennis Copenhaver is 4504 Boat Club Rd, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dennis Copenhaver |
|---|---|
| Address | 4504 Boat Club Rd, Fort Worth, Texas |
| Phone Number | 8172370515 |
| Fax Number | 8172378982 |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1114035375 |
|---|---|
| Provider Enumeration Date | 2006-08-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4504 Boat Club Rd |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 761357003 |
| Phone Number | 8172370515 |
| Fax Number | 8172378982 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA01826 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique identifier code issued to Dennis Copenhaver by the Centers for Medicare & Medicaid Services (CMS)?
The Dennis Copenhaver has been assigned the NPI (National Provider Identifier) 1114035375. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Dennis Copenhaver is physically located?
The Dennis Copenhaver is situated at the following address: 4504 Boat Club Rd, Fort Worth, TX 761357003.
What is Dennis Copenhaver's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Dennis Copenhaver is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1114035375 to Dennis Copenhaver?
The Centers for Medicare & Medicaid Services originally issued the 1114035375 to Dennis Copenhaver on 2006-08-28.
As of what date were the Dennis Copenhaver's details last updated?
The information pertaining to the Dennis Copenhaver, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1588667679
Address: 9104 Babcock Blvd, Pittsburgh, PA