Provider Demographics
NPI:1487858049
Name:COOK, BARRY GREGORY (MD)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:GREGORY
Last Name:COOK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8125 N 1ST ST
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-5612
Mailing Address - Country:US
Mailing Address - Phone:956-467-9552
Mailing Address - Fax:903-663-0378
Practice Address - Street 1:301 W EXPRESSWAY 83
Practice Address - Street 2:RADIOLOGY DEPARTMENT
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-3045
Practice Address - Country:US
Practice Address - Phone:956-467-9552
Practice Address - Fax:903-663-0378
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2019-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM40042085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB104862OtherPTAN
TX218132301Medicaid
TX218132301Medicaid