Cook Children's Medical Center

NPI #1114222312 in Southlake, Texas

Provider Information

NPI Number: 1114222312
Entity Type: Organization
Organization Name: Cook Children's Medical Center
Subpart: Yes (part of a larger organization)
Parent Organization: COOK CHILDREN'S MEDICAL CENTER
Primary Specialty: Pediatrics
Enumeration Date: Jan 19, 2011
Last Updated: May 26, 2021

Practice Location

Address: 2727 E SOUTHLAKE BLVD
City: Southlake
State: Texas
ZIP Code: 76092-6613
Phone: (682) 885-6000

Authorized Official

Name: CORY R RHOADES
Title: CHIEF FINANCIAL OFFICER
Phone: (682) 885-4480

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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