Individual
DR. DEBORAH TULLOS COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
312 E RENFRO ST, SUITE 105, BURLESON, TX 76028-3947
(817) 426-6887
Mailing address
312 E RENFRO ST, SUITE 105, BURLESON, TX 76028-3947
(817) 426-6887
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
11049
MS
208000000X
Pediatrics Physician
Primary
K1401
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127510905
—
TX
Enumeration date
05/12/2006
Last updated
09/14/2015
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