Provider Demographics
NPI:1871663476
Name:COOK, PAUL ISSA (MD)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:ISSA
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 1:6400 FANNIN ST
Mailing Address - Street 2:SUITE 1900
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-1528
Mailing Address - Country:US
Mailing Address - Phone:713-796-2200
Mailing Address - Fax:713-796-2232
Practice Address - Street 1:6400 FANNIN ST
Practice Address - Street 2:SUITE 1900
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1528
Practice Address - Country:US
Practice Address - Phone:713-796-2200
Practice Address - Fax:713-796-2232
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-09
Last Update Date:2011-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH6130207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00J87DOtherBCBS PROVIDER #
TX115158102Medicaid
TX88M582OtherBCBS PROVIDER #
TX115158105Medicaid
TX8B5310OtherBCBS PROVIDER #
TX8B5310OtherBCBS PROVIDER #
TX88M582OtherBCBS PROVIDER #