Organization
COOK CHILDREN'S PHYSICIAN NETWORK
Active
Parent organization
COOK CHILDREN'S PHYSICIAN NETWORK
Other names
Cook Children's Physician Network - West
Organization subpart
Yes
Provider details
NPI number
Legal business name
COOK CHILDREN'S PHYSICIAN NETWORK
Authorized official
MATTHEW V DZURIK MD (PRESIDENT)
(682) 885-6122
Entity
Organization
Contact information
Practice address
4102 24TH STREET, STE 401, LUBBOCK, TX 79410
(806) 795-1801
(806) 795-1373
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-6483
(682) 303-7132
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
2080P0206X
Pediatric Gastroenterology Physician
—
—
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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