Organization
COOK CHILDREN'S MEDICAL CENTER
Active
Parent organization
COOK CHILDREN'S MEDICAL CENTER
Other names
COOK CHILDREN'S NEUROSCIENCES
Organization subpart
Yes
Provider details
NPI number
Legal business name
COOK CHILDREN'S MEDICAL CENTER
Authorized official
CORY R RHOADES (CFO, CCHCS)
(682) 885-4480
Entity
Organization
Contact information
Practice address
1500 COOPER ST, 4TH FLOOR, FORT WORTH, TX 76104-2710
(682) 885-2500
(682) 885-1903
Mailing address
PO BOX 99213, FORT WORTH, TX 76199-0213
(682) 885-4871
(682) 885-3936
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
000332
TX
103G00000X
Clinical Neuropsychologist
Primary
000332
TX
Other
Enumeration date
03/16/2011
Last updated
03/09/2021
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