Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Cook Children's Medical Center

Organization Pediatrics Physician · NPI 1114222312

Cook Children's Medical Center provides Pediatrics Physician services in Southlake, Texas. Licensed in Texas. Registered with an NPI since 2011.

Licensed in
TX
In the registry since
2011

Practice location Address checks out

2727 E Southlake Blvd
Southlake, TX 76092-6613
Phone: (682) 885-6000
Fax: (682) 885-6050
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 000332 (TX)

Record details

NPI number1114222312
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCook Children's Medical Center
Authorized official Cory Rhoades — Chief Financial Officer · (682) 885-4480
Other names Cook Children'S Urgent Care Southlake
NPI enumeratedJanuary 19, 2011
Last updated in NPPESMay 26, 2021
Certification dateMay 26, 2021
Mailing addressPo Box 99213, Fort Worth, TX 76199-0213

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