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General NPI Number Information
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NPI Number | 1235001025
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Entity Type | Organization
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Legal Business Name | COOK PHYSICIAN SERVICES, PLLC
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Dates
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Enumeration Date | 09/22/2025
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 600 RIVER POINTE DR STE 200
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City | CONROE
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State | TX
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Zip | 77304-2868
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Country | US
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Telephone | 936-205-1745
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Fax | 888-801-1981
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Provider Business Mailing Address
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Address Line | 600 RIVER POINTE DR STE 200
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City | CONROE
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State | TX
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Zip | 77304-2868
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Country | US
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Telephone | 936-205-1745
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Fax | 800-507-5343
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Authorized Official
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Title or Position | PHYSICIAN/ OWNER
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Name | JESSICA K COOK
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Credential | MD
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Telephone | 936-205-1745
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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