MEDICARE: LINDA EWING-COBBS PH.D.

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	103G00000X	Clinical Neuropsychologist	2-3230	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	86448A	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1487680021
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA EWING-COBBS PH.D.

Provider Business Mailing Address
First Line	:	PO BOX 301173
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75303-1173
Country	:	US
Telephone Number	:	713-500-3500
Fax Number	:	713-500-3878

Provider Business Practice Location Address
First Line	:	7000 FANNIN ST
Second Line	:	2431
City	:	HOUSTON
State	:	TX
Zip	:	77030-5400
Country	:	US
Telephone Number	:	713-500-5700
Fax Number	:

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

Provider Enumeration Date	:	06/24/2006
Last Update Date	:	08/03/2016

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