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Individual

DR. CHARLES EVERETT COOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8440 WALNUT HILL LN, #110, DALLAS, TX 75231-3833
(214) 265-7175
(214) 691-5940
Mailing address
8440 WALNUT HILL LN, #110, DALLAS, TX 75231-3833
(214) 265-7175
(214) 691-5940

Taxonomy

Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
G9724
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
122178002
TX
Enumeration date
08/08/2006
Last updated
12/19/2013
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