Individual
PEGGY LYNN COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, ANP-C
Contact information
Practice address
4501 SWISS AVE, DALLAS, TX 75204
(214) 820-8700
(214) 818-8707
Mailing address
4501 SWISS AVENUE, DALLAS, TX 75204
(214) 820-8700
(214) 818-8707
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
723434
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307012001
—
TX
05
—
307012002
—
TX
Enumeration date
08/14/2012
Last updated
12/28/2016
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