Cook Children'S Health Plan

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

COOK CHILDREN'S HEALTH PLAN

Practice address

3584 S Hills Ave
Fort Worth, TX 76109-3600

Phone

(682) 885-4000

Fax

(682) 885-2148

NPI assigned

Oct 7, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Robert E Watkins

Title

President/Ceo

Phone

(682) 885-7457

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1475798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475798400000",
    "number": "1154871739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 7TH AVE",
            "address_2": "P.O. BOX 2488",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042733",
            "telephone_number": "682-885-4000",
            "fax_number": "682-885-2148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3584 S HILLS AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761093600",
            "telephone_number": "682-885-4000",
            "fax_number": "682-885-2148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOK CHILDREN'S HEALTH PLAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-07",
        "last_updated": "2016-10-07",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "682-885-7457",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Edward Conway, ATC; LAT
• Felicity Conway
• L Elizabeth Conway, MS-CCC/SLP
• Patrick A Conway, DO
• Stephen Paul Conway, ADMINISTRATOR
• Cook Children'S Medical Center
• Cook Children'S Medical Center
• Cook Children'S Medical Center
• Cook Children'S Medical Center
• Cook Children'S Medical Center

• Health Maintenance Organization in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Health Maintenance Organization in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.