Individual
MICHAEL COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10554 COOKS LAKE RD, LUMBERTON, TX 77657-7453
(832) 514-9862
Mailing address
3195 DOWLEN RD, STE 101 PMB 182, BEAUMONT, TX 77706
(832) 514-9862
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
07/04/2022
Last updated
07/04/2022
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