Provider Demographics
NPI:1639182892
Name:COOK, JEANNINE ROZAS (MD)
Entity Type:Individual
Prefix:
First Name:JEANNINE
Middle Name:ROZAS
Last Name:COOK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1508 BONHAM CT
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75038-5900
Mailing Address - Country:US
Mailing Address - Phone:214-693-9230
Mailing Address - Fax:972-252-6341
Practice Address - Street 1:12200 PARK CENTRAL DR
Practice Address - Street 2:STE. 405
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75251-2100
Practice Address - Country:US
Practice Address - Phone:972-341-9696
Practice Address - Fax:972-341-9697
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH2107208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics