Provider Demographics
NPI:1659582948
Name:COOK, THOMAS KEVIN (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:KEVIN
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 1:701 TRADEWINDS BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79706-3166
Mailing Address - Country:US
Mailing Address - Phone:432-618-6772
Mailing Address - Fax:432-618-6775
Practice Address - Street 1:701 TRADEWINDS BLVD STE B
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79706-3166
Practice Address - Country:US
Practice Address - Phone:432-618-6772
Practice Address - Fax:432-618-6775
Is Sole Proprietor?:No
Enumeration Date:2007-05-25
Last Update Date:2022-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP00272086S0122X, 2086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB162658OtherMEDICARE
TX310098401Medicaid
TX0029WSOtherBLUE CROSS