Cook, Stanley D

Cook, Stanley D is an individual health care provider with primary practice located at 1901 Medi Park Dr Suite 2050, Amarillo TX 79106-2110. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Cook, Stanley D can be contacted via phone (806) 355-3352.

Contact Information

Primary practice address
1901 Medi Park Dr Suite 2050 Amarillo TX 79106-2110
Fax: (806) 355-5367
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X G7503 Texas

Profile Details

NPI number 1003815325
LBN Legal business name Cook, Stanley D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Jun 11th, 2008 - about 18 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 1003815325 NPPES
Texas MEDICAID 129122103
Texas Other 8F7707
Texas Other MDG7503
Texas MEDICAID 100130410A
Texas MEDICAID 129122106
Texas Other 751375446
Texas Other P00338146
Texas MEDICAID 16533038
Texas Other 137298101

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