Individual
MR. KYLE A COOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
990 HWY 287 N, SUITE 109, MANSFIELD, TX 76063
(817) 453-4682
(817) 453-4353
Mailing address
990 HWY 287 N, SUITE 109, MANSFIELD, TX 76063
(817) 453-4682
(817) 453-4353
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4960TG
TX
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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