Individual
THOMAS TEDFORD COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
5700 N PORTLAND AVE STE 102, OKLAHOMA CITY, OK 73112-1650
(405) 942-5513
Mailing address
5700 N PORTLAND AVE STE 102, OKLAHOMA CITY, OK 73112-1650
(405) 942-5513
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
R102398
OK
Other
Enumeration date
08/01/2018
Last updated
01/22/2020
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