Active NPI
Deborah Tullos Cook, M.D.
- Pediatrics Physician
- Burleson, TX
National Provider Identifier
1457301962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- K1401
- Practice address
- 312 E Renfro St
Suite 105
Burleson, TX 76028-3947 - Phone
- (817) 426-6887
- NPI assigned
- May 12, 2006
- Last updated
- Sep 14, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | K1401 | TX | Primary |
| Pediatrics Physician | 208000000X | 11049 | MS |
Addresses
Primary practice location
312 E Renfro St
Suite 105
Burleson, TX 76028-3947
Mailing address
312 E Renfro St
Suite 105
Burleson, TX 76028-3947
Phone (817) 426-6887
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 127510905 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11049 | MS | MD | Pediatrics Physician |
| K1401 | TX | MD | Pediatrics Physician |
Interoperability endpoints
- deborahcook@childcl.allscriptsdirect.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442188800000",
"number": "1457301962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 E RENFRO ST",
"address_2": "SUITE 105",
"city": "BURLESON",
"state": "TX",
"postal_code": "760283947",
"telephone_number": "817-426-6887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 E RENFRO ST",
"address_2": "SUITE 105",
"city": "BURLESON",
"state": "TX",
"postal_code": "760283947",
"telephone_number": "817-426-6887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "DEBORAH",
"middle_name": "TULLOS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-12",
"last_updated": "2015-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "K1401",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MS",
"license": "11049",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "127510905",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burleson, TX
- Complete Infectious Diseases Care Associates, PLLC
- Complete LDP PLLC: (Complete Dental Care)
- Lindsey Conditt, NP
- Lyndie Conner
- Amanda Kaye Contino, PNP
- Randy Cooper
- Sarah Cooper
- Joseph Edwin Corne, LPC
- Leticia Lynette Cortes, PA-C
- Counseling and Hypnosis Institute, Inc (Burleson Family Counseling Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.