MEDICARE: ALANA 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
1	374U00000X	Home Health Aide
2	372600000X	Adult Companion

General Provider Information

NPI Number	:	1679112452
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALANA COOK

Provider Business Mailing Address
First Line	:	4008 LOUETTA RD STE 456
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77388-4405
Country	:	US
Telephone Number	:	834-224-3450
Fax Number	:	832-365-7974

Provider Business Practice Location Address
First Line	:	4008 LOUETTA RD STE 456
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77388-4405
Country	:	US
Telephone Number	:	834-224-3450
Fax Number	:	832-365-7974

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/27/2019
Last Update Date	:	12/27/2019

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