1487858049 NPI number — DR. BARRY GREGORY COOK MD

Table of content: DR. BARRY GREGORY COOK MD (NPI 1487858049)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1487858049 NPI number — DR. BARRY GREGORY COOK MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
COOK
Provider First Name:
BARRY
Provider Middle Name:
GREGORY
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1487858049
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/30/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8125 N 1ST ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MCALLEN
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78504-5612
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
956-467-9552
Provider Business Mailing Address Fax Number:
903-663-0378

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
301 W EXPRESSWAY 83
Provider Second Line Business Practice Location Address:
RADIOLOGY DEPARTMENT
Provider Business Practice Location Address City Name:
MCALLEN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78503-3045
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
956-467-9552
Provider Business Practice Location Address Fax Number:
903-663-0378
Provider Enumeration Date:
06/14/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2085R0202X , with the licence number:  M4004 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: TXB104862 . This is a "PTAN" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 218132301 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




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