Cook, Randal Paul

Cook, Randal Paul is an individual health care provider with primary practice located at 802 S Jackson Ave Ste 225 , Tulsa OK 74127-9049. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Cook, Randal Paul can be contacted via phone (918) 582-7711.

Contact Information

Primary practice address
802 S Jackson Ave Ste 225 Tulsa OK 74127-9049
Phone: (918) 582-7711
Fax: (918) 583-5831
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 4930 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 2042 Oklahoma

Profile Details

NPI number 1952688509
LBN Legal business name Cook, Randal Paul
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2011
Last updated Jun 27th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952688509 NPPES
Oklahoma MEDICAID 200409710A

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