Organization
COOK CHILDREN'S MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORY R RHOADES (CHIEF FINANCIAL OFFICER)
(682) 885-4480
Entity
Organization
Contact information
Practice address
801 7TH AVE, FORT WORTH, TX 76104-2733
(682) 885-4000
(682) 885-1903
Mailing address
PO BOX 99213, FORT WORTH, TX 76199-0213
(682) 885-1860
(682) 885-1396
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
273Y00000X
Rehabilitation Hospital Unit
000332
TX
282NC2000X
Children's Hospital
Primary
000332
TX
Other
Enumeration date
01/26/2006
Last updated
10/01/2024
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