Ga Tony Cook Md Pa

NPI 1063697167 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1063697167
Enumeration Date 01/08/2008
Last Updated 01/08/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name GEORGE A GEORGE
Position PRESIDENT
Phone (806) 323-8882
Fax (806) 323-6108
Practice Location
1025 S 3RD ST
CANADIAN TX, 79014-3047, US
Phone (806) 323-8882
Fax (806) 323-6108
Business Location
1025 S 3RD ST
CANADIAN TX, 79014-3047, US
Phone (806) 323-8882
Fax (806) 323-6108
Toxanomy
Taxonomy Code 171M00000X
License State Texas
License Number L7695
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According to our database, Ga Tony Cook Md Pa NPI is 1063697167, taxonomy code is 171M00000X and license number is L7695, license state is located at Texas. Ga Tony Cook Md Pa physically located at 1025 S 3rd St, Canadian TX, 79014-3047. NPI Number 1033115704 has the healthcare provider type.

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1063697167 NPI number is provided on an as is basis without warranty of any kind. 1063697167 is maintained by the National Plan & Provider Enumeration System. The contents of Ga Tony Cook Md Pa are for informational purposes only.