Provider Demographics
NPI:1669490751
Name:COOK, WILLIAM BYRON (ARNP)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:BYRON
Last Name:COOK
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2559 MEDICAL DR
Mailing Address - Street 2:STE A
Mailing Address - City:ALAMOGORDO
Mailing Address - State:NM
Mailing Address - Zip Code:88310-8704
Mailing Address - Country:US
Mailing Address - Phone:713-500-6459
Mailing Address - Fax:713-500-0530
Practice Address - Street 1:6410 FANNIN ST STE 700
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-5205
Practice Address - Country:US
Practice Address - Phone:713-500-6459
Practice Address - Fax:713-500-0530
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2016-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMCNP-02973363LP0200X
TX824749363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA9637570Medicaid
MT4301414Medicaid
ID806632600Medicaid
AKNP165WAMedicaid
WAS86566Medicare UPIN
AKNP165WAMedicaid