Provider Demographics
NPI:1013701119
Name:COOK, JOSEPH BENJAMIN II
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:BENJAMIN
Last Name:COOK
Suffix:II
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7312 LOUETTA RD STE B118-210
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-6175
Mailing Address - Country:US
Mailing Address - Phone:832-349-5380
Mailing Address - Fax:
Practice Address - Street 1:6410 CASH OAKS DR
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-5388
Practice Address - Country:US
Practice Address - Phone:832-367-7319
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-05
Last Update Date:2025-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Single Specialty