Individual
TARA COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RVT, RDMS
Contact information
Practice address
112 FARQUHAR ST, NAVASOTA, TX 77868-3616
(281) 883-4825
(832) 995-0176
Mailing address
21055 PICKENS RD, WASHINGTON, TX 77880-5315
(281) 883-4825
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
73059
TX
Other
Enumeration date
10/18/2023
Last updated
10/18/2023
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