Cook, Delores Gwendolyn

Cook, Delores Gwendolyn is an individual health care provider with primary practice located at 400 Hospital Dr Suite #106, Corsicana TX 75110-2489. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Cook, Delores Gwendolyn can be contacted via phone (903) 872-2923.

Contact Information

Primary practice address
400 Hospital Dr Suite #106 Corsicana TX 75110-2489
Phone: (903) 872-2923
Fax: (903) 872-2941
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 505742 Texas

Profile Details

NPI number 1134267198
LBN Legal business name Cook, Delores Gwendolyn
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2007
Last updated Mar 7th, 2012 - about 13 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 1134267198 NPPES
Texas Other 00Y226 MEDICARE GROUP

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