Doctor Name: | ROY A COOK |
NPI Number: | 1538330279 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 007090 |
Business Practice Address: | 406 Canaan Place Natchitoches, LA - 71457 |
Business Phone Number: | 3183792477 |
Business Fax Number: | |
Mailing Address: | 406 Canaan Place, NATCHITOCHES |
State: | LA |
Postal Code: | 71457 |
Phone Number: | 3183792477 |
Fax Number: | |
NPI Enumeration Date: | 03/21/2008 |
NPI Last Update Date: | 03/21/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 007090 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |