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COOK CHILDREN'S PHYSICIAN NETWORK
NPI 1083472062
Pediatrics in Fort Worth, TX

Active since March 13, 2024CLIA 45D2175401 · Accreditation
801 7TH AVE, FORT WORTH, TX 76104(682) 885-6483(682) 885-3113 Get Directions Write a Review

NPPES record last updated: March 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cook Children's Physician Network NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COOK CHILDREN'S PHYSICIAN NETWORK (NPI 1083472062) is a healthcare organization registered as a pediatrics in Fort Worth, Texas and active in the NPI registry since March 2024. The organization holds an CLIA Accreditation certificate valid through February 11, 2028 and lists Matthew V Dzurik, President, as its authorized official.

NPPES Registry Identity

NPI1083472062
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameCOOK CHILDREN'S PHYSICIAN NETWORK
Location Address801 7TH AVEFort Worth, TX 76104-2733
Mailing AddressPo Box 733784Dallas, TX 75373-3784 · (682) 885-6483 · Fax (682) 885-3113
Phone(682) 885-6483
Fax(682) 885-3113
Organization SubpartNo
Authorized OfficialMatthew V DzurikPresident · (682) 885-6122
Enumeration DateMarch 13, 2024
NPPES CertifiedMarch 13, 2024
✔ NPI 1083472062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
801 7TH AVE, Fort Worth, TX 76104
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 45D2175401

Cook Children's Point Of Care · Fort Worth, TX
Active · expires Feb 11, 2028
CLIA Number45D2175401
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateFebruary 12, 2026
Certificate Expiration DateFebruary 11, 2028
Laboratory DirectorDr. Stacey A. Berry
Laboratory Phone(682) 885-4296
Laboratory LocationCook Children's Point Of Care801 7th Ave, Fort Worth, TX 76104
CLIA data matches this NPI record on: Address
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RACHEL MARIE SOUERS M.D.
Pediatrics
801 7TH AVE
FORT WORTH, TX 76104
Tarrant County (682) 885-6726
JAMIE L COLE LCSW
Social Worker (Clinical)
801 7TH AVE, CASE MANAGEMENT
FORT WORTH, TX 76104
Tarrant County (682) 885-3991
ANNE MARCUM KIRK M.D.
Hospitalist
801 7TH AVE
FORT WORTH, TX 76104
Tarrant County (682) 885-1475
KRISTI E TUCKER FNP
Nurse Practitioner (Family)
801 7TH AVE
FORT WORTH, TX 76104
Tarrant County (682) 885-1475
ISAAC WILSON RN
Registered Nurse
801 7TH AVE
FORT WORTH, TX 76104
Tarrant County (682) 885-4000
DR. BRITTON MICHAEL DEVILLIER M.D., M.P.H.
Emergency Medicine (Pediatric Emergency Medicine)
801 7TH AVE
FORT WORTH, TX 76104
Tarrant County (682) 885-4095
DR. PHUONG THI NGUYEN M.D.
Hospitalist
801 7TH AVE
FORT WORTH, TX 76104
Tarrant County (682) 885-1475
DR. MIRIAM ALLISON BLUM DO
Hospitalist
801 7TH AVE
FORT WORTH, TX 76104
Tarrant County (682) 885-1475

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cook Children's Physician Network's NPI number?

The NPI number for Cook Children's Physician Network is 1083472062. It was assigned to this organization in the NPPES registry on March 13, 2024.

Where is Cook Children's Physician Network located?

Cook Children's Physician Network is located at 801 7th Ave, Fort Worth, TX 76104. The listed phone number is (682) 885-6483.

What is Cook Children's Physician Network's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Cook Children's Physician Network hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 45D2175401) is associated with this NPI, valid through February 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Cook Children's Physician Network was last updated on March 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.