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Individual

CHARLES W COOK JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
400 HOSPITAL DR, STE 210, CORSICANA, TX 75110-2489
(903) 641-4835
(903) 641-4846
Mailing address
400 HOSPITAL DR, SUITE 111, CORSICANA, TX 75110-2489
(903) 641-4895
(903) 641-4894

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
H9860
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
047015503
TX
01
84076X
BLUE CROSS
TX
Enumeration date
02/10/2006
Last updated
09/11/2020
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