Individual
STANLEY D COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G7503
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100130410A
—
OK
05
—
129122103
—
TX
05
—
129122106
—
TX
01
—
137298101
FIRSTCARE
—
05
—
16533038
—
NM
01
—
751375446
TAX ID
—
01
—
8F7707
BLUE CROSS OF TEXAS
TX
01
—
MDG7503
TEXAS WORKERS COMPENSATIO
TX
01
—
P00338146
RAILROAD MEDICARE
—
Enumeration date
07/19/2005
Last updated
06/11/2008
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