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Individual
MICHELLE L COOK
Active
Individual
MICHELLE L COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
657085
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
327166002
—
TX
01
—
75-2616977-016
TRICARE
TX
01
—
75-2616977-021
TRICARE
TX
01
—
8929UK
BCBS
TX
01
—
P01550188
RAIL ROAD
TX
Enumeration date
10/01/2013
Last updated
03/06/2017
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