Organization
COOK CHILDREN'S MEDICAL CENTER
Active
Parent organization
COOK CHILDREN'S MEDICAL CENTER
Other names
COOK CHILDREN'S DIALYSIS UNIT
Organization subpart
Yes
Provider details
NPI number
Legal business name
COOK CHILDREN'S MEDICAL CENTER
Authorized official
CORY R RHOADES (CHIEF FINANCIAL OFFICER)
(682) 885-4480
Entity
Organization
Contact information
Practice address
1500 COOPER ST FL 1, FORT WORTH, TX 76104-2710
(682) 885-3944
(682) 885-7883
Mailing address
PO BOX 99213, FORT WORTH, TX 76199-0213
(682) 885-1860
(682) 885-1396
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
110129
TX
Other
Enumeration date
01/26/2006
Last updated
04/08/2021
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