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NPI Code Detail

MEDICARE: MRS. NANCY GRAY COOK NP

MEDICARE: MRS. NANCY GRAY COOK NP
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 Practitioner233728TX

General Provider Information

NPI Number : 1396708624
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. NANCY GRAY COOK NP
Provider Business Mailing Address
First Line : 283 DAVENPORT RD
Second Line :
City : SHERMAN
State : TX
Zip : 75090-3515
Country : US
Telephone Number : 903-893-3352
Fax Number :
Provider Business Practice Location Address
First Line : 1201 E 9TH ST
Second Line :
City : BONHAM
State : TX
Zip : 75418-4059
Country : US
Telephone Number : 903-583-6716
Fax Number : 903-583-6625
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2006
Last Update Date : 11/07/2008

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Directions to “ MRS. NANCY GRAY COOK NP” Practice Location

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