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Individual

DR. SETH W COOK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7501 LAKEVIEW PKWY, STE 160, ROWLETT, TX 75088-9322
(972) 526-0340
(972) 996-1857
Mailing address
PO BOX 226, ROWLETT, TX 75030-0226
(972) 526-0340
(972) 996-1857

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
L0102
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05277256
NM
01
130606102
FIRSTCARE
TX
05
150207203
TX
05
150207204
TX
01
8EQ729
BLUE CROSS BLUE SHIELD
TX
01
8ER056
BLUE CROSS BLUE SHIELD
TX
Enumeration date
08/31/2006
Last updated
11/13/2014
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