Provider Demographics
NPI:1467621011
Name:METROPLEX SURGICAL ARTS, P.A.
Entity Type:Organization
Organization Name:METROPLEX SURGICAL ARTS, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:F
Authorized Official - Last Name:COOKE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD,MS
Authorized Official - Phone:972-296-1992
Mailing Address - Street 1:7988 W VIRGINIA DR SUITE 200
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75237
Mailing Address - Country:US
Mailing Address - Phone:972-296-1992
Mailing Address - Fax:972-296-8983
Practice Address - Street 1:7988 W VIRGINIA DR STE 200
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75237-3764
Practice Address - Country:US
Practice Address - Phone:972-296-1992
Practice Address - Fax:972-296-8983
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-28
Last Update Date:2008-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX188611223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00787RMedicare PIN