MEDICARE: ALLAN O COOK MD PA

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	174400000X	Specialist	F9322	TX

General Provider Information

NPI Number	:	1912042805
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLAN O COOK MD PA

Provider Business Mailing Address
First Line	:	777 WALTER REED BLVD
Second Line	:	MEDICAL PLAZA II, SUITE # B10
City	:	GARLAND
State	:	TX
Zip	:	75042-5727
Country	:	US
Telephone Number	:	972-487-7057
Fax Number	:	972-272-4256

Provider Business Practice Location Address
First Line	:	5900 BERKSHIRE ROAD
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75072
Country	:	US
Telephone Number	:	972-487-7057
Fax Number	:	972-272-4256

Authorized Official
Title or Position	:	CARDIOTHORACIC AND VASCULAR SURGEON
Name	:	DR. ALLAN O COOK JR.
Credential	:	MD PA
Telephone Number	:	972-487-7057

Provider Enumeration Date	:	02/20/2007
Last Update Date	:	08/29/2018

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