Provider Demographics
NPI:1144764184
Name:MIDLAND HAND CLINIC PLLC
Entity Type:Organization
Organization Name:MIDLAND HAND CLINIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:KEVIN
Authorized Official - Last Name:COOK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:432-618-6772
Mailing Address - Street 1:701 TRADEWINDS BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79706-3148
Mailing Address - Country:US
Mailing Address - Phone:432-618-6772
Mailing Address - Fax:432-618-6775
Practice Address - Street 1:701 TRADEWINDS BLVD STE B
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79706-3148
Practice Address - Country:US
Practice Address - Phone:432-618-6772
Practice Address - Fax:432-618-6775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-09
Last Update Date:2016-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2082S0105XAllopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the HandGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP0027OtherMEDICAL LICENSE
TXQ4050OtherMEDICAL LICENSE
TX1659582948OtherNPI
TX1316189921OtherNPI