Provider Demographics
NPI:1962454264
Name:COOK, YURI EAST (MD, FAAP)
Entity Type:Individual
Prefix:
First Name:YURI
Middle Name:EAST
Last Name:COOK
Suffix:
Gender:M
Credentials:MD, FAAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1111 RAINTREE CIR STE 240
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-4902
Mailing Address - Country:US
Mailing Address - Phone:214-644-0280
Mailing Address - Fax:214-644-0294
Practice Address - Street 1:1111 RAINTREE CIR STE 240
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-4902
Practice Address - Country:US
Practice Address - Phone:214-644-0280
Practice Address - Fax:214-644-0294
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2022-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK4667208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX129982807Medicaid