Individual
AMBER N COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1001 N PALESTINE ST, ATHENS, TX 75751-4122
(903) 535-9041
Mailing address
523 S FANNIN AVE, TYLER, TX 75702-8204
(903) 535-9041
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
BP1-0044178
TX
207Q00000X
Family Medicine Physician
Primary
Q2651
TX
Other
Enumeration date
05/21/2012
Last updated
06/05/2023
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