| NPI | 1063385466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS COOK COO 940-282-9216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 2084P0805X | |
| 213E00000X Podiatrist | |
| Enumeration Date | 2025-09-24 |
| Last Update Date | 2025-09-24 |