Individual
WILLIAM K. COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3560 DELAWARE ST, 209, BEAUMONT, TX 77706-3059
(409) 899-3682
Mailing address
3560 DELAWARE ST, 209, BEAUMONT, TX 77706-3059
(409) 899-3684
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
H5541
TX
2085R0202X
Diagnostic Radiology Physician
Primary
H5541
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134474905
—
TX
01
—
E890
BLUECROSS BLUESHIELD TEXAS
TX
Enumeration date
06/14/2005
Last updated
12/17/2018
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