Provider Demographics
NPI:1619235629
Name:C,L AND W PLLC
Entity Type:Organization
Organization Name:C,L AND W PLLC
Other - Org Name:AFFORDACARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:COOKSEY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:325-701-9270
Mailing Address - Street 1:PO BOX 4077
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79608-4077
Mailing Address - Country:US
Mailing Address - Phone:325-701-9270
Mailing Address - Fax:325-701-9270
Practice Address - Street 1:4009 RIDGEMONT DR
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79606-2733
Practice Address - Country:US
Practice Address - Phone:325-232-8830
Practice Address - Fax:325-232-8836
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-26
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207Q00000X
TXH7973261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty