COOPER STREET MEDICAL CLINIC
NPI 1578618492
Family Medicine in Mansfield, TX

Active since January 23, 2007CLIA 45D1025217 · Waiver
2360 FM 157 N, MANSFIELD, TX 76063(817) 453-2123(817) 453-2151 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Cooper Street Medical Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COOPER STREET MEDICAL CLINIC (NPI 1578618492) is a healthcare organization registered as a family medicine in Mansfield, Texas and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through May 2, 2028 and lists Doyle F Gallman, Physician, as its authorized official.

NPPES Registry Identity

NPI1578618492
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDOYLE F GALLMAN DO PA
Location Address2360 FM 157 NMansfield, TX 76063-7540
Mailing Address2360 Fm 157 NMansfield, TX 76063-7540 · (817) 453-2123 · Fax (817) 453-2151
Fax(817) 453-2151
Organization SubpartNo
Authorized OfficialDoyle F GallmanPhysician · (817) 453-2123
Enumeration DateJanuary 23, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1578618492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · H2931
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2360 FM 157 N, Mansfield, TX 76063

Other Names 1

Doing Business AsCooper Street Medical Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D1025217

Cooper Street Medical Clinic · Mansfield, TX
Active · expires May 2, 2028
CLIA Number45D1025217
Laboratory TypePhysician Office
Certificate Effective DateMay 3, 2026
Certificate Expiration DateMay 2, 2028
Laboratory DirectorBindal Sapan
Laboratory Phone(817) 453-2123
Laboratory LocationCooper Street Medical Clinic2360 Fm 157, Mansfield, TX 76063
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Doyle F Gallman Do PA's NPI number?

The NPI number for Doyle F Gallman Do PA is 1578618492. It was assigned to this organization in the NPPES registry on January 23, 2007. The provider is doing business as Cooper Street Medical Clinic.

Where is Doyle F Gallman Do PA located?

Doyle F Gallman Do PA is located at 2360 Fm 157 N, Mansfield, TX 76063. The listed phone number is (817) 453-2123.

What is Doyle F Gallman Do PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Doyle F Gallman Do PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1025217) is associated with this NPI, valid through May 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Doyle F Gallman Do PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.