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NPI Code Detail

MEDICARE: JASON COCHRUM

MEDICARE: JASON COCHRUM
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
1363L00000XNurse PractitionerAP126620TX
2363LF0000XFamily Nurse PractitionerAP126620TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033513890
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASON COCHRUM
Provider Business Mailing Address
First Line : 2701 HOSPITAL DR
Second Line :
City : VICTORIA
State : TX
Zip : 77901-5749
Country : US
Telephone Number : 361-575-6396
Fax Number : 361-578-5203
Provider Business Practice Location Address
First Line : 2701 HOSPITAL DR
Second Line :
City : VICTORIA
State : TX
Zip : 77901-5749
Country : US
Telephone Number : 361-575-6396
Fax Number : 361-578-5203
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/22/2014
Last Update Date : 11/03/2023

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Directions to “ JASON COCHRUM ” Practice Location

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