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Individual

SHANNON EUGENE COOKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1633 COTTONWOOD ST, ABILENE, TX 79601
(325) 672-4372
(325) 673-0856
Mailing address
1633 COTTONWOOD ST, ABILENE, TX 79601-3033
(325) 672-4372
(325) 673-0856

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
H7972
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
029703802
TX
01
8S1530
BCBS
TX
Enumeration date
06/22/2006
Last updated
06/14/2018
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