Clayton Cook, DO
Individual provider Active NPI Emergency Medicine Physician · Jbsa Lackland Afb, TX
NPI 1467949453 · NPPES record last updated Aug 18, 2022
Key facts
- NPI
- 1467949453
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- T4336 (TX)
- Practice address
- 1100 Wilford Hall Loop
Jbsa Lackland Afb, TX 78236 - Phone
- (210) 292-0055
- NPI assigned
- Apr 16, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220516001477 | TX | Practitioner - Emergency Medicine | 1557619889 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2020-03444 | NC | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Third Coast Emergency Physicians Southwest PA | Emergency Medicine | Current |
Accepting new patients |
| Emergency Medicine Services of TX, PLLC | Emergency Medicine | Current |
Accepting new patients |
| Travis County Emergency Physicians PA | Emergency Medicine | Current |
Accepting new patients |
Locations (25 of 29)
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305
134 Menger Spgs
Boerne, TX 78006
Phone (830) 331-3000
1020 S State Highway 16
Fredericksburg, TX 78624
Phone (830) 990-1555
225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400
12285 Bandera Rd
Helotes, TX 78023
Phone (210) 575-2285
2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779
1905 E State Highway 97
Jourdanton, TX 78026
Phone (210) 614-9603
6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000
100 Medical Pkwy
Lakeway, TX 78738
Phone (512) 206-8100
1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050
1850 State Highway 46 W
Ste 109
New Braunfels, TX 78132
Phone (210) 757-5850
11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020
11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000
9211 Potranco Rd
San Antonio, TX 78251
Phone (210) 575-9211
7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564
4103 N Loop 1604 W
San Antonio, TX 78249
Phone (210) 572-8415
520 Madison Oak Dr
San Antonio, TX 78258
Phone (210) 297-0412
6700 W Interstate 10
San Antonio, TX 78201
Phone (210) 575-8289
1310 McCullough Ave
San Antonio, TX 78212
Phone (210) 208-2200
13434 Nacogdoches Rd
San Antonio, TX 78217
Phone (210) 447-7560
111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000
250 E Basse Rd
Ste 101
San Antonio, TX 78209
Phone (210) 638-4159
6402 Mallard Mdw
San Antonio, TX 78244
Phone (210) 757-5000
3154 SE Military Dr
Ste 103
San Antonio, TX 78223
Phone (210) 337-0911
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 2020-03444 | NC | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | T4336 | TX | Yes |
Addresses
Primary practice location
1100 Wilford Hall Loop
Jbsa Lackland Afb, TX 78236
Mailing address
1100 Wilford Hall Loop
Jbsa Lackland Afb, TX 78236
Phone (210) 292-0055
Other practice location 1
2100 Stantonsburg Rd
Greenville, NC 27834-2818
Phone (215) 543-2418
Other providers in Jbsa Lackland Afb, TX
- Barbara Aimable Harris
- Rebekah Hayes Auld
- Michael Azir
- Theodor Danciu
- Billy Cameron Denley
- Kenneth Fan
- Roger Louis Farney
- Michelle Lora Floyd
All providers in Jbsa Lackland Afb, TX · Emergency Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.