Individual provider · Type 1 NPI

Jordan Fayth Cooke, PA-C

Surgical Physician Assistant · Tyler, TX

NPI number 1033628383 Active

Practice location

8101 S Broadway Ave
Tyler, TX 75703-5469

Call (903) 939-7500 Map

Fax (903) 939-7728

Mailing address

3414 Golden Rd
Tyler, TX 75701-8336

Other practice locations

  • 305 W 20th St, Mount Pleasant, TX 75455-2327 · (903) 939-7500
  • 708 E Corsicana St, Athens, TX 75751-2627 · (903) 939-7500
  • 925 W Loop 281, Longview, TX 75604-2918 · (903) 939-7500
  • 3414 Golden Rd, Tyler, TX 75701-8336 · (903) 939-7500

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA11584 (TX)

Surgical Physician Assistant: Definition to come...

10 other providers at this address

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About NPI 1033628383

Jordan Fayth Cooke, PA-C's National Provider Identifier is 1033628383, issued on Sep 28, 2017. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Tyler, TX. The record was last updated on Feb 22, 2022.