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NPI Code Detail

MEDICARE: MRS. RHEA JEAN COOK FNP

MEDICARE: MRS. RHEA JEAN COOK FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner588731TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1588731OTHERTXLICENSE

General Provider Information

NPI Number : 1033303680
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. RHEA JEAN COOK FNP
Provider Business Mailing Address
First Line : 5700 TENNYSON PKWY
Second Line : STE 300
City : PLANO
State : TX
Zip : 75024-3595
Country : US
Telephone Number : 214-649-6932
Fax Number : 214-387-1220
Provider Business Practice Location Address
First Line : 5700 TENNYSON PKWY
Second Line : STE 300
City : PLANO
State : TX
Zip : 75024-3595
Country : US
Telephone Number : 214-649-6932
Fax Number : 214-387-1220
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2007
Last Update Date : 04/21/2022

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