Cook Children's Physician Network
NPI 1750369203ActiveOrganization· Pediatrics· Fort Worth, TX
Pediatrics in Fort Worth, Texas, registered in NPPES in January 2006. The authorized official on file is Matthew V. Dzurik, MD, President, Ccpn. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1750369203 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 5, 2006 |
| Last updated in NPPES | Jan 16, 2024 |
| Certified by provider | Jan 16, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | — | — |
| Medical Genetics, Clinical Genetics (M.D.) | 207SG0201X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
Other Pediatrics providers in Fort Worth
- 1689922627
- 1912260506
- 1881820595
- 1255147120
- 1154789238
- 1396188074
- 1538669916
- 1083472062
- 1467903088
- 1033783451
- 1740455831
- 1205965035