MEDICARE: ERIKA 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	363LF0000X	Family Nurse Practitioner	AP137866	TX

General Provider Information

NPI Number	:	1912488420
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIKA COOK

Provider Business Mailing Address
First Line	:	4009 SAHARA CT
Second Line	:
City	:	CARROLLTON
State	:	TX
Zip	:	75010-4237
Country	:	US
Telephone Number	:	214-927-4567
Fax Number	:	469-621-2209

Provider Business Practice Location Address
First Line	:	4009 SAHARA CT
Second Line	:
City	:	CARROLLTON
State	:	TX
Zip	:	75010-4237
Country	:	US
Telephone Number	:	214-927-4567
Fax Number	:	469-621-2209

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

Provider Enumeration Date	:	08/22/2018
Last Update Date	:	10/03/2023

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