Timothy H Cook Md Pllc | |
2310 Terra Trl Edmond OK 73034-3441 | |
(405) 574-5961 | |
Not Available |
Full Name | Timothy H Cook Md Pllc |
---|---|
Speciality | Internal Medicine |
Location | 2310 Terra Trl, Edmond, Oklahoma |
Authorized Official Name and Position | Timothy H Cook (PRESIDENT) |
Authorized Official Contact | 4055745961 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Timothy H Cook Md Pllc 2310 Terra Trl Edmond OK 73034-3441 Ph: (405) 574-5961 | Timothy H Cook Md Pllc 2310 Terra Trl Edmond OK 73034-3441 Ph: (405) 574-5961 |
NPI Number | 1164734075 |
---|---|
Provider Enumeration Date | 07/08/2010 |
Last Update Date | 07/08/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164734075 | NPI | - | NPPES |
100000770A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 21344 (Oklahoma) | Primary |
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