Provider Demographics
NPI:1215185244
Name:COOK, PATRICK R (DO)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:R
Last Name:COOK
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:5005 N PIEDRAS ST
Mailing Address - Street 2:ATTN: CREDENTIALS OFFICE
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79920-5001
Mailing Address - Country:US
Mailing Address - Phone:915-569-4432
Mailing Address - Fax:915-569-1233
Practice Address - Street 1:5005 N PIEDRAS ST
Practice Address - Street 2:ATTN: CREDENTIALS OFFICE
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79920-5001
Practice Address - Country:US
Practice Address - Phone:915-569-4432
Practice Address - Fax:915-569-1233
Is Sole Proprietor?:No
Enumeration Date:2008-09-03
Last Update Date:2008-09-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA20A94392086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery