MEDICARE: DEAN ALAN COCHRAN PMHNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	AP135857	TX

General Provider Information

NPI Number	:	1003329814
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEAN ALAN COCHRAN PMHNP-BC

Provider Business Mailing Address
First Line	:	6205 LA VISTA DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75214-4312
Country	:	US
Telephone Number	:	469-273-1540
Fax Number	:	469-242-9872

Provider Business Practice Location Address
First Line	:	6205 LA VISTA DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75214-4312
Country	:	US
Telephone Number	:	469-273-1540
Fax Number	:	469-242-9872

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/15/2017
Last Update Date	:	10/11/2025

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