Basic Information
| Provider Information | |||||||||
| NPI: | 1023272101 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | ROBERT N. COOKE, PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3400 NW EXPRESSWAY | ||||||||
| Address2: | SUITE 420 | ||||||||
| City: | OKLAHOMA CITY | ||||||||
| State: | OK | ||||||||
| PostalCode: | 731124493 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4057139935 | ||||||||
| FaxNumber: | 4057139936 | ||||||||
| Practice Location | |||||||||
| Address1: | 3435 NW 56TH ST | ||||||||
| Address2: | SUITE 410 | ||||||||
| City: | OKLAHOMA CITY | ||||||||
| State: | OK | ||||||||
| PostalCode: | 731124448 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4059454414 | ||||||||
| FaxNumber: | 4059454388 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/17/2008 | ||||||||
| LastUpdateDate: | 08/18/2014 | ||||||||
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| AuthorizedOfficialLastName: | COOKE | ||||||||
| AuthorizedOfficialFirstName: | ROBERT | ||||||||
| AuthorizedOfficialMiddleName: | N | ||||||||
| AuthorizedOfficialTitleorPosition: | PRES | ||||||||
| AuthorizedOfficialTelephone: | 4059454414 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | 13200 | OK | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Surgery |
No ID Information.