COOK CHILDREN'S MEDICAL CENTER; NPI #1164105458

Contact Information

COOK CHILDREN'S MEDICAL CENTER

1500 COOPER ST
FORT WORTH, TX 76104-2710

Phone: 682-303-9200
Fax: 682-303-9239
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Intellectual & Developmental Disabilities	103TM1800X	62	Psychologist, Clinical
Psychologist	103T00000X	62	Psychologist, Clinical

Indicates primary specialty

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NPI Profile & details for COOK CHILDREN'S MEDICAL CENTER

NPI #	`1164105458`
LBN Legal business name	COOK CHILDREN'S MEDICAL CENTER
Authorized official	CORY RHOADES - (CHIEF FINANCIAL OFFICER)
Entity	Organization
Organization subpart ¹	Yes
Enumeration date	08/11/2023
Last updated	08/11/2023 - About 3 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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