Cook Children's Urgent Care And Pediatric Services

NPI 1114222312 - Pediatrics - 208000000X

NPI Details
NPI 1114222312
Enumeration Date 01/19/2011
Last Updated 03/02/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name RICHARD P RICHARD
Position CFO, CCHCS
Phone (682) 885-6000
Fax (682) 885-1903
Practice Location
2727 E SOUTHLAKE BLVD
SOUTHLAKE TX, 76092-6613, US
Phone (682) 885-6000
Fax (682) 885-1903
Business Location
PO BOX 99213
FORT WORTH TX, 76199-0213, US
Phone (682) 885-2645
Fax (682) 885-3639
Toxanomy
Taxonomy Code 208000000X
License State Texas
License Number 000332
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According to our database, Cook Children's Urgent Care And Pediatric Services NPI is 1114222312, taxonomy code is 208000000X and license number is 000332, license state is located at Texas. Cook Children's Urgent Care And Pediatric Services physically located at 2727 E Southlake Blvd, Southlake TX, 76092-6613. NPI Number 1033115704 has the healthcare provider type.

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1114222312 NPI number is provided on an as is basis without warranty of any kind. 1114222312 is maintained by the National Plan & Provider Enumeration System. The contents of Cook Children's Urgent Care And Pediatric Services are for informational purposes only.