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NPI Code Detail

MEDICARE: COOK CHILDREN'S MEDICAL CENTER

MEDICARE: COOK CHILDREN'S MEDICAL CENTER
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
13336S0011XSpecialty Pharmacy

General Provider Information

NPI Number : 1982439576
Entity Type Code : Organization
Provider Name (Legal Business Name) : COOK CHILDREN'S MEDICAL CENTER
Provider Business Mailing Address
First Line : PO BOX 99213
Second Line :
City : FORT WORTH
State : TX
Zip : 76199-0213
Country : US
Telephone Number : 682-885-1860
Fax Number : 682-885-1396
Provider Business Practice Location Address
First Line : 1500 COOPER ST STE 1541
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-2710
Country : US
Telephone Number : 682-303-3900
Fax Number : 682-303-3910
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : CORY R RHOADES
Credential :
Telephone Number : 682-885-4480
Provider Enumeration Date : 09/04/2024
Last Update Date : 02/21/2025

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Directions to “COOK CHILDREN'S MEDICAL CENTER ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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