Cook Children'S Physician Network

Organization Active NPI Pediatrics Physician · Fort Worth, TX

NPI 1083472062 · NPPES record last updated Mar 13, 2024

Key facts

NPI
1083472062
Entity type
Organization (NPI type 2)
Primary specialty
Pediatrics Physician 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
Organization subpart
No

Authorized official

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

Other NPIs on the same Medicare enrollment 4

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

Corporate family (same tax ID) 4

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

Practitioners 1,246

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 1,246

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX

Medicare enrollment records

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

National Provider Directory

Tax ID family
Cook Childrens Behavior (5 organizations share this tax ID)

Locations (25 of 57)

410 Lone Star Dr
Abilene, TX 79602
Phone (325) 670-3910

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

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

212 W South St
Arlington, TX 76010
Phone (817) 277-9597

1525 S Cooper St
Arlington, TX 76010
Phone (817) 804-1100

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

3132 Matlock Rd
Ste 303
Arlington, TX 76015
Phone (817) 472-0090

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

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

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

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

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

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

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

6210 John Ryan Dr
Ste 104
Fort Worth, TX 76132
Phone (682) 303-0800

6407 N Beach St
Fort Worth, TX 76137
Phone (817) 847-5304

1263 W Rosedale St
#Forth
Fort Worth, TX 76104
Phone (817) 336-4896

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

6421 N Beach St
Fort Worth, TX 76137
Phone (817) 847-5304

901 7th Ave
Ste 420
Fort Worth, TX 76104
Phone (817) 885-4202

1300 W Lancaster Ave
Ste 101
Fort Worth, TX 76102
Phone (817) 336-8611

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician
Group: 193200000X MULTI-SPECIALTY GROUP
208000000X Yes

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

Other providers in Fort Worth, TX

All providers in Fort Worth, TX · Pediatrics Physician in Texas

Sources for this page

Verify at the official NPI Registry.