NPIMap

Organization Active NPI

Cook Children's Physician Network

  • Pediatrics Physician
  • Fort Worth, TX
National Provider Identifier
1083472062
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
COOK CHILDREN'S PHYSICIAN NETWORK
Practice address
801 7TH Ave
Fort Worth, TX 76104-2733
Phone
(682) 885-6483
Fax
(682) 885-3113
NPI assigned
Mar 13, 2024
Last updated
Mar 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Matthew V DzurikNPI 1912094053
Title
President
Phone
(682) 885-6122

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X Primary

Addresses

Primary practice location

801 7TH Ave
Fort Worth, TX 76104-2733

Mailing address

PO Box 733784
Dallas, TX 75373-3784
Phone (682) 885-6483

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040128000800 TX Part B Supplier - Clinic/Group Practice 7719884584 Receives reassigned benefits from 1,270 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Cook Childrens Phys Net5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations (25 of 63)

414 Lone Star Dr
Unit B
Abilene, TX 79602
Phone (325) 692-0626

252 Bailey Ranch Rd
Ste 300
Aledo, TX 76008
Phone (817) 441-5412

252 Bailey Ranch Rd
Ste 400
Aledo, TX 76008
Phone (817) 441-5412

1710 N Greenville Ave
Ste 110
Allen, TX 75002
Phone (682) 303-0260

2151 W White St
Ste 100
Anna, TX 75409
Phone (945) 204-7878

3121 S Center St
Arlington, TX 76014
Phone (817) 557-1596

451 Highlander Blvd
Ste 101
Arlington, TX 76014
Phone (817) 375-1413

601 Omega Dr
Ste 203
Arlington, TX 76014
Phone (469) 445-0779

848 W Mitchell St
Arlington, TX 76013
Phone (817) 274-7223

1604 Hospital Pkwy
Ste 401
Bedford, TX 76022
Phone (817) 283-0808

225 SE John Jones Dr
Ste 101
Burleson, TX 76028
Phone (817) 447-0445

4443 N Josey Ln
Ste 150
Carrollton, TX 75010
Phone (682) 885-4000

545 S Preston Rd
Ste 100
Celina, TX 75009
Phone (945) 204-7960

5611 Colleyville Blvd
Colleyville, TX 76034
Phone (682) 885-6800

12222 N Central Expy
Ste 200
Dallas, TX 75243
Phone (214) 327-3333

1160 N Bonnie Brae St
Denton, TX 76201
Phone (940) 536-3296

3201 Teasley Ln
Ste 102
Denton, TX 76210
Phone (940) 565-1510

350 Westpark Way
Ste 112
Euless, TX 76040
Phone (817) 571-6633

757 E US Highway 80
Ste 240
Forney, TX 75126
Phone (469) 264-8012

1129 6th Ave
Fort Worth, TX 76104
Phone (682) 885-6248

1131 5th Ave
Fort Worth, TX 76104
Phone (817) 810-0262

1300 S University Dr
Ste 200
Fort Worth, TX 76107
Phone (682) 885-1050

1300 W Lancaster Ave
Ste G
Fort Worth, TX 76102
Phone (817) 335-3207

1500 W Rosedale St
Fort Worth, TX 76104
Phone (682) 885-3426

2800 Cherry Ln
Ste 100
Fort Worth, TX 76116
Phone (682) 303-2800

Practitioners & affiliated clinicians

Practitioners 1,149

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 1,149

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1710288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710288000000",
    "number": "1083472062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 733784",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753733784",
            "telephone_number": "682-885-6483",
            "fax_number": "682-885-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 7TH AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042733",
            "telephone_number": "682-885-6483",
            "fax_number": "682-885-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOK CHILDREN'S PHYSICIAN NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-13",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A",
        "authorized_official_last_name": "DZURIK",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "682-885-6122"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.