Provider Demographics
NPI:1043994379
Name:COPPERFIELD MEDICAL PRACTICE PLLC
Entity type:Organization
Organization Name:COPPERFIELD MEDICAL PRACTICE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JINNY
Authorized Official - Middle Name:
Authorized Official - Last Name:NARULA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-861-4212
Mailing Address - Street 1:8686 HIGHWAY 6 N
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-2101
Mailing Address - Country:US
Mailing Address - Phone:281-861-4212
Mailing Address - Fax:
Practice Address - Street 1:8686 HIGHWAY 6 N
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095-2101
Practice Address - Country:US
Practice Address - Phone:281-861-4051
Practice Address - Fax:281-861-4051
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-15
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty