Provider Demographics
NPI:1427074327
Name:COOK, TRACY ANN (RN, ANP)
Entity type:Individual
Prefix:MRS
First Name:TRACY
Middle Name:ANN
Last Name:COOK
Suffix:
Gender:F
Credentials:RN, ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1490 COMMONS CIR STE 200
Mailing Address - Street 2:
Mailing Address - City:ARGYLE
Mailing Address - State:TX
Mailing Address - Zip Code:76226-2716
Mailing Address - Country:US
Mailing Address - Phone:214-606-8737
Mailing Address - Fax:844-713-8346
Practice Address - Street 1:1490 COMMONS CIR STE 200
Practice Address - Street 2:
Practice Address - City:ARGYLE
Practice Address - State:TX
Practice Address - Zip Code:76226-2716
Practice Address - Country:US
Practice Address - Phone:214-518-5016
Practice Address - Fax:844-713-8346
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP115220363LP2300X
TX571437363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX195965208Medicaid
TX195965207Medicaid
TXTXB133559Medicare PIN
TX195965207Medicaid
TX276471YKY6Medicare PIN
TXTXB133563Medicare PIN