COOK CHILDREN'S MEDICAL CENTER NPI 1134422884

NPI Information

COOK CHILDREN'S MEDICAL CENTER is an urgent care clinic center in Southlake, TX. COOK CHILDREN'S MEDICAL CENTER NPI is 1134422884. The provider is registered as an organization entity type.
The provider Is Doing Business As Cook Childrens Urgent Care Southlake.

The provider's business location address is:

2727 E SOUTHLAKE BLVD
SOUTHLAKE, TX
ZIP 76092-613
Phone: (682) 885-6000
Fax: (682) 885-6050

The provider's authorized official is Cory R Rhoades .
The authorized official title is Chief Financial Officer and has the following contact phone number (682) 885-4480.

The CLIA number assigned to this NPI record is 45D2018154 - ancillary test site with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/17/2010 and was last updated on 5/26/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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