COPPER RIDGE MEDICAL PA
NPI 1750557641
Clinic/Center in Georgetown, TX

Active since May 01, 2008
7600 HIGHWAY 29 W, STE #5, GEORGETOWN, TX 78628(512) 930-0363(512) 930-0371 Get Directions Write a Review

NPPES record last updated: June 17, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Copper Ridge Medical Pa NPPES

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

COPPER RIDGE MEDICAL PA (NPI 1750557641) is a healthcare organization registered as a clinic/center in Georgetown, Texas and active in the NPI registry since May 2008. The organization lists Ann Nolen, Owner, as its authorized official.

NPPES Registry Identity

NPI1750557641
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameCOPPER RIDGE MEDICAL PA
Location Address7600 HIGHWAY 29 W, STE #5Georgetown, TX 78628-6937
Mailing Address7600 Highway 29 W, Ste #5Georgetown, TX 78628-6937 · (512) 930-0363 · Fax (512) 930-0371
Fax(512) 930-0371
Organization SubpartNo
Authorized OfficialAnn NolenOwner · (512) 930-0363
Enumeration DateMay 1, 2008
Last NPPES UpdateJune 17, 2009
NPI 1750557641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License Licensed in TX · G1494
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
7600 HIGHWAY 29 W, Georgetown, TX 78628

Other Identifiers 1

OtherG1494TX · Physician State License

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
7600 HIGHWAY 29 W, SUITE 9
GEORGETOWN, TX 78628
Family Medicine
7600 HIGHWAY 29 W, SUITE 5
GEORGETOWN, TX 78628
Family Medicine
7600 HIGHWAY 29 W, SUITE 5
GEORGETOWN, TX 78628

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 Copper Ridge Medical PA's NPI number?

The NPI number for Copper Ridge Medical PA is 1750557641. It was assigned to this organization in the NPPES registry on May 1, 2008.

Where is Copper Ridge Medical PA located?

Copper Ridge Medical PA is located at 7600 Highway 29 W Ste #5, Georgetown, TX 78628. The listed phone number is (512) 930-0363.

What is Copper Ridge Medical PA's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Copper Ridge Medical PA was last updated on June 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.