Organization
COOK CHILDREN'S MEDICAL CENTER
Active
Parent organization
COOK CHILDREN'S MEDICAL CENTER
Other names
COOK CHILDREN'S URGENT CARE SOUTHLAKE
Organization subpart
Yes
Provider details
NPI number
Legal business name
COOK CHILDREN'S MEDICAL CENTER
Authorized official
CORY R RHOADES (CHIEF FINANCIAL OFFICER)
(682) 885-4480
Entity
Organization
Contact information
Practice address
2727 E SOUTHLAKE BLVD, SOUTHLAKE, TX 76092-6613
(682) 885-6000
(682) 885-6050
Mailing address
PO BOX 99213, FORT WORTH, TX 76199-0213
(682) 885-1860
(682) 885-1396
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
000332
TX
Other
Enumeration date
01/19/2011
Last updated
05/26/2021
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