Healthcare Provider Details
I. General information
NPI: 1043451347
Provider Name (Legal Business Name): JOSE A. COBOS MDPA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/16/2009
Last Update Date: 01/04/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2114 HALE AVE SUITE A
HARLINGEN TX
78550-8408
US
IV. Provider business mailing address
2114 HALE AVE SUITE A
HARLINGEN TX
78550-8408
US
V. Phone/Fax
- Phone: 956-365-4106
- Fax: 956-365-4126
- Phone: 956-365-4106
- Fax: 956-365-4126
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207X00000X |
| Taxonomy | Orthopaedic Surgery Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JOSE
ARTURO
COBOS
Title or Position: PRESIDENT
Credential: MD
Phone: 956-793-2117