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COOK CHILDREN'S MEDICAL CENTER NPI 1760452080


NPI Information

NPI: 1760452080
Provider Name: COOK CHILDREN'S MEDICAL CENTER

Doing Business As: COOK CHILDREN'S DIALYSIS UNIT

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
1500 COOPER ST FL 1
FORT WORTH, TX
ZIP 76104
Phone: (682) 885-3944
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COOK CHILDREN'S MEDICAL CENTER is an end-stage renal disease (esrd) treatment clinic center in Fort Worth, TX. COOK CHILDREN'S MEDICAL CENTER NPI is 1760452080. The provider is registered as an organization entity type.
The provider Is Doing Business As Cook Children's Dialysis Unit.

The provider's business location address is:

1500 COOPER ST FL 1
FORT WORTH, TX
ZIP 76104-710
Phone: (682) 885-3944
Fax: (682) 885-7883

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 enumeration date for this NPI number is 1/26/2006 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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment110129TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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