Organization
COOK CHILDRENS HOME HEALTH
Active
Parent organization
COOK CHILDRENS HOME HEALTH
Other names
ORTHOTIC PROSTHETIC PHY GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
COOK CHILDRENS HOME HEALTH
Authorized official
MIKE R SIMMONS (PRESIDENT, CCHH)
(682) 885-2409
Entity
Organization
Contact information
Practice address
1719 8TH AVE, FORT WORTH, TX 76110-1349
(682) 885-6492
(682) 885-1135
Mailing address
1719 8TH AVE, FORT WORTH, TX 76110-1349
(682) 885-6492
(682) 885-1135
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
101295
TX
224P00000X
Prosthetist
101295
TX
Other
Enumeration date
05/14/2012
Last updated
05/14/2012
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