Healthcare Provider Details

I. General information

NPI: 1932032885
Provider Name (Legal Business Name): WILLIAM COOKSON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

940 STANTON L YOUNG BLVD
OKLAHOMA CITY OK
73104-5020
US

IV. Provider business mailing address

940 STANTON L YOUNG BLVD
OKLAHOMA CITY OK
73104-5020
US

V. Phone/Fax

Practice location:
  • Phone: 940-451-7310
  • Fax:
Mailing address:
  • Phone: 940-451-7310
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number48129
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: