Individual
MR. GREGORY CARRINGTON COOKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
146 HOSPITAL DRIVE, SUITE 208, ANGLETON, TX 77515
(979) 849-5940
(979) 849-5944
Mailing address
146 HOSPITAL DRIVE, SUITE 208, ANGLETON, TX 77515
(979) 849-5940
(979) 849-5944
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
K1402
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096694702
—
TX
01
—
10020035
AMERIGROUP
TX
01
—
93491F
BLUE CROSS BLUE SHIELD
TX
Enumeration date
09/25/2006
Last updated
06/22/2009
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