Healthcare Provider Details

I. General information

NPI: 1356315048
Provider Name (Legal Business Name): JUDITH ANNE HAMANN COOK MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2006
Last Update Date: 07/29/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 W LAMBERTH RD SUITE A
SHERMAN TX
75092-2661
US

IV. Provider business mailing address

PO BOX 2910
SHERMAN TX
75091-2910
US

V. Phone/Fax

Practice location:
  • Phone: 903-892-6700
  • Fax: 903-892-6774
Mailing address:
  • Phone: 903-892-6700
  • Fax: 903-892-6774

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number StateTX

VIII. Authorized Official

Name: JUDITH COOK
Title or Position: MD
Credential: MD
Phone: 903-892-6700