Individual provider · Type 1 NPI

Gary S. Cook, P.A.

Medical Physician Assistant · Port Lavaca, TX

NPI number 1154325611 Active

Practice location

1207 N Virginia St
Port Lavaca, TX 77979-2506

Fax (361) 400-1588

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA0086 (TX)

Medical Physician Assistant: Definition to come...

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About NPI 1154325611

Gary S. Cook, P.A.'s National Provider Identifier is 1154325611, issued on Jun 11, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Port Lavaca, TX. The record was last updated on May 1, 2014.