Cook, Stacy

Cook, Stacy is an individual health care provider with primary practice located at Wilford Hall Ambulatory Surgical Center 1100 Wilford Hall Loop, Bldg. 4554, 59 Mdw/Gme, Jbsa Lackland TX 78236-9908. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is her primary health care specialty. Cook, Stacy can be contacted via phone (757) 362-2613.

Contact Information

Primary practice address
Wilford Hall Ambulatory Surgical Center 1100 Wilford Hall Loop, Bldg. 4554, 59 Mdw/Gme Jbsa Lackland TX 78236-9908
Phone: (757) 362-2613
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / General Practice 208D00000X DR.0068502 Colorado

Profile Details

NPI number 1659998052
LBN Legal business name Cook, Stacy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2020
Last updated Apr 12th, 2022 - 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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