MEDICARE: KAREN ELIZABETH SMITH-COOK MD

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	208000000X	Pediatrics Physician	M1357	TX

General Provider Information

NPI Number	:	1770579872
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN ELIZABETH SMITH-COOK MD

Provider Business Mailing Address
First Line	:	13711 WALLISVILLE RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77049-3908
Country	:	US
Telephone Number	:	713-455-7777
Fax Number	:	713-453-7337

Provider Business Practice Location Address
First Line	:	13711 WALLISVILLE RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77049
Country	:	US
Telephone Number	:	713-455-7777
Fax Number	:	713-453-7337

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

Provider Enumeration Date	:	09/23/2005
Last Update Date	:	10/17/2018

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