Healthcare Provider Details

I. General information

NPI: 1154413227
Provider Name (Legal Business Name): JOSE A COBOS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2006
Last Update Date: 09/08/2023
Certification Date: 09/08/2023
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

Practice location:
  • Phone: 956-365-4106
  • Fax: 956-365-4126
Mailing address:
  • Phone: 956-365-4106
  • Fax: 956-365-4126

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberDR.0069819
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number69529
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License NumberK0005
License Number StateTX
# 4
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberK0005
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: