# COOK CHILDRENS MEDICAL CENTER - PROSPER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215609896
- **Authorized official:** CORY R RHOADES (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (682) 885-4480

## Contact information

- **Practice address:** 4100 W UNIVERSITY DR, PROSPER, TX 75078-3123
- **Practice address phone:** (945) 204-4100
- **Practice address fax:** (682) 885-1903
- **Mailing address:** PO BOX 730108, DALLAS, TX 75373-0108
- **Mailing address phone:** (682) 885-1860
- **Mailing address fax:** (682) 885-1396

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | — |
| 282NC2000X | Children's Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 10/01/2021
- **Last updated:** 07/17/2023