Individual
DEREK COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT
Contact information
Practice address
1310 N ELM ST, SWEENY, TX 77480-1308
(979) 491-8159
(979) 491-8187
Mailing address
1310 N ELM ST, SWEENY, TX 77480-1308
(979) 491-8159
(979) 491-8187
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT2396
TX
Other
Enumeration date
03/30/2016
Last updated
03/30/2016
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