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Individual
KATHRYN COOKE
Active
Individual
KATHRYN COOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G4931
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043718802
—
TX
01
—
080192995
RAILROAD MEDICARE
TX
01
—
5524129
AETNA
TX
01
—
87579Z
HMO BLUE
TX
01
—
8F6722
BCBS
TX
Enumeration date
09/02/2005
Last updated
10/05/2016
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