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NPI 1114222312
● Active Type 2 · Organization
Subpart
Cook Children'S Medical Center
Pediatrics · Southlake, TX · NPI 1114222312
·
Enumerated 2011 · 15 years on NPI
Cook Children'S Medical Center is 1 of 7055 pediatrics organizations in Texas.
NPI age
15 years
Enumerated 2011-01-19
Primary specialty
Pediatrics
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Rhoades
Chief Financial Officer
Last NPPES update
2021-05-26
Source: monthly bulk 2026-05
How this organization compares
Across 7055 active pediatrics providers in Texas.
NPI age
15 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
NPI lifetime · 2011 → 2026
2011-01 Enumerated in NPPES
2011
2026
Where they practice
Primary practice location
2727 E Southlake Blvd
Southlake, TX 760926613
📞 6828856000 fax 6828856050
Mailing address
Po Box 99213
Fort Worth, TX 761990213
📞 6828851860 fax 6828851396
Authorized official
Cory R Rhoades
Chief Financial Officer
📞 6828854480
Individual providers at this organization
15 individual providers on file at this primary practice address.
Cameron Clark , P.A.
Physician Assistant
NPI 1760758320
Christina Crump , CPNP
Nurse Practitioner
NPI 1457687501
Cathleen Delaney , FNP
Nurse Practitioner
NPI 1689668857
Jennifer Elliott , M.S., L.P.C.
Counselor
NPI 1265611347
Magda Fawzy , MD
Pediatrics
NPI 1396855946
Philip Fuller , MD
Pediatrics
NPI 1760592216
Jacqueline Hanna , MD
Pediatrics
NPI 1508027004
Ashley Hickman , FNP
Nurse Practitioner
NPI 1487121752
Emily Jimenez , PHD, LP, NCSP, MED
Psychologist
NPI 1447092135
Meredith Krebel , MD
Emergency Medicine
NPI 1558454645
Michelle McKane , MD
Pediatrics
NPI 1255363099
Sanu Nair , M.D.
Emergency Medicine
NPI 1881867331
Natalie Roberge , M.D.
Otolaryngology
NPI 1700867926
Kara Starnes , DO
Pediatrics
NPI 1750586699
Kristi West , PA-C
Physician Assistant
NPI 1114215100
Specialties
Pediatrics
Primary
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...
TX license #000332 taxonomy 208000000X
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Multi-provider organization.
15 individual providers on file at this primary address.
Subpart of Cook Children'S Medical Center .
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.