Organization
COOK CHILDREN'S HEALTH PLAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT E WATKINS (PRESIDENT/CEO)
(682) 885-7457
Entity
Organization
Contact information
Practice address
3584 S HILLS AVE, FORT WORTH, TX 76109-3600
(682) 885-4000
(682) 885-2148
Mailing address
801 7TH AVE, P.O. BOX 2488, FORT WORTH, TX 76104-2733
(682) 885-4000
(682) 885-2148
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
10/07/2016
Last updated
10/07/2016
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