Provider Demographics
NPI:1225859465
Name:MILFORD COOK, TRINA N (CHW)
Entity type:Individual
Prefix:
First Name:TRINA
Middle Name:N
Last Name:MILFORD COOK
Suffix:
Gender:F
Credentials:CHW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21210 SPRINGBROOK HOLLOW CT
Mailing Address - Street 2:
Mailing Address - City:KLEIN
Mailing Address - State:TX
Mailing Address - Zip Code:77379-1941
Mailing Address - Country:US
Mailing Address - Phone:832-562-8164
Mailing Address - Fax:
Practice Address - Street 1:2000 CRAWFORD ST STE 1639
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-1367
Practice Address - Country:US
Practice Address - Phone:832-562-8164
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-21
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10475172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker