Healthcare Provider Details

I. General information

NPI: 1356349211
Provider Name (Legal Business Name): CURT COCKINGS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2005
Last Update Date: 07/17/2020
Certification Date: 07/17/2020
Deactivation Date: 03/16/2006
Reactivation Date: 03/21/2006

III. Provider practice location address

3802 22ND PL
LUBBOCK TX
79410-1118
US

IV. Provider business mailing address

3802 22ND PL
LUBBOCK TX
79410-1118
US

V. Phone/Fax

Practice location:
  • Phone: 806-796-1551
  • Fax: 806-796-1688
Mailing address:
  • Phone: 806-796-1551
  • Fax: 806-796-1688

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberH7598
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207WX0110X
TaxonomyPediatric Ophthalmology and Strabismus Specialist Physician Physician
License NumberH7598
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: