Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cook Children's Medical Center

Organization Pediatrics Physician · NPI 1114222312

Cook Children's Medical Center is a Pediatrics Physician 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

Other providers in Southlake