Provider Demographics
NPI:1992701437
Name:COOKSEY, ROBBIE J (DO)
Entity type:Individual
Prefix:DR
First Name:ROBBIE
Middle Name:J
Last Name:COOKSEY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:6417 CENTRAL PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79606-5884
Mailing Address - Country:US
Mailing Address - Phone:325-695-6370
Mailing Address - Fax:325-695-2720
Practice Address - Street 1:6200 REGIONAL PLZ STE 1600
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79606-5222
Practice Address - Country:US
Practice Address - Phone:325-695-6370
Practice Address - Fax:325-692-6595
Is Sole Proprietor?:No
Enumeration Date:2005-06-21
Last Update Date:2024-11-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXH7973207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
8K190OtherBLUE CROSS BLUE SHIELD
TX100140108OtherFIRST CARE
TX138958719Medicaid
P00103373OtherRAILROAD MEDICARE
TX080960002Medicaid
TXP00103373Medicare PIN
TX138958719Medicaid
TX080960002Medicaid