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NPI Code Detail

MEDICARE: METROPLEX SURGICAL ARTS, P.A.

MEDICARE: METROPLEX SURGICAL ARTS, P.A.
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
11223S0112XOral and Maxillofacial Surgery (Dentist)18861TX

General Provider Information

NPI Number : 1467621011
Entity Type Code : Organization
Provider Name (Legal Business Name) : METROPLEX SURGICAL ARTS, P.A.
Provider Business Mailing Address
First Line : 7988 W VIRGINIA DR SUITE 200
Second Line :
City : DALLAS
State : TX
Zip : 75237
Country : US
Telephone Number : 972-296-1992
Fax Number : 972-296-8983
Provider Business Practice Location Address
First Line : 7988 W VIRGINIA DR STE 200
Second Line :
City : DALLAS
State : TX
Zip : 75237-3764
Country : US
Telephone Number : 972-296-1992
Fax Number : 972-296-8983
Authorized Official
Title or Position : OWNER/SURGEON
Name : DR. HOWARD F COOKE
Credential : D.M.D.,M.S.
Telephone Number : 972-296-1992
Provider Enumeration Date : 02/28/2008
Last Update Date : 09/11/2008

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