COOK CHILDREN'S MEDICAL CENTER NPI 1255799334

NPI Information

COOK CHILDREN'S MEDICAL CENTER is an urgent care clinic center in Fort Worth, TX. COOK CHILDREN'S MEDICAL CENTER NPI is 1255799334. The provider is registered as an organization entity type.
The provider Is Doing Business As Cook Children's Urgent Care Center - Alliance.

The provider's business location address is:

10601 N RIVERSIDE DR
FORT WORTH, TX
ZIP 76244-118
Phone: (817) 347-2600
Fax: (817) 347-2670

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 45D2114849 - ancillary test site with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/4/2016 and was last updated on 4/8/2021.

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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