Organization
COOK CHILDREN'S PHYSICIAN NETWORK
Active
Parent organization
COOK CHILDREN'S PHYSICIAN NETWORK
Other names
COOK CHILDREN'S URGENT CARE CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
COOK CHILDREN'S PHYSICIAN NETWORK
Authorized official
WILLIAM B NELSON MD (PRESIDENT)
(682) 885-7549
Entity
Organization
Contact information
Practice address
801 7TH AVE, FORT WORTH, TX 76104-2733
(682) 885-6800
(682) 885-1903
Mailing address
PO BOX 9044, BELFAST, ME 04915-9044
(682) 885-1855
(682) 885-7337
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1467903088
NPI PHYSICIAN GROUP
—
Enumeration date
10/21/2016
Last updated
10/21/2016
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