Cook Children's Physician Network

NPI #1467903088 in Fort Worth, Texas

Provider Information

NPI Number: 1467903088
Entity Type: Organization
Organization Name: Cook Children's Physician Network
Subpart: Yes (part of a larger organization)
Parent Organization: COOK CHILDREN'S PHYSICIAN NETWORK
Primary Specialty: Pediatrics
Enumeration Date: Oct 19, 2016
Last Updated: Oct 19, 2016

Practice Location

Address: 801 7TH AVE
City: Fort Worth
State: Texas
ZIP Code: 76104-2733
Phone: (682) 885-6800

Authorized Official

Name: WILLIAM B NELSON, MD
Title: PRESIDENT
Phone: (682) 885-7549

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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