Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | J1509 | TX |
NPI | 1003808239 |
---|---|
Provider Name | Steven Cook |
First Address | Dallas, TX 75284-1969 |
Second Address | Houston, TX 77098-2101 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2005 |
Last Update Date | 14/02/2013 |