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NPI Code Detail

MEDICARE: MR. JASON SCOTT COOK

MEDICARE: MR. JASON SCOTT COOK
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
1235Z00000XSpeech-Language Pathologist103913TX

General Provider Information

NPI Number : 1053684969
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JASON SCOTT COOK
Provider Business Mailing Address
First Line : 2900 WOODRIDGE DR STE 300
Second Line :
City : HOUSTON
State : TX
Zip : 77087-2506
Country : US
Telephone Number : 713-741-5800
Fax Number : 713-741-5805
Provider Business Practice Location Address
First Line : 2900 WOODRIDGE DR STE 300
Second Line :
City : HOUSTON
State : TX
Zip : 77087-2506
Country : US
Telephone Number : 713-741-5800
Fax Number : 713-741-5805
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2012
Last Update Date : 02/23/2012

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Directions to “ MR. JASON SCOTT COOK ” Practice Location

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