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NPI Code Detail

MEDICARE: DR. COURTNEY CHEYNE COBBS OD

MEDICARE:  DR. COURTNEY CHEYNE COBBS  OD
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
1152W00000XOptometrist04923TTX

General Provider Information

NPI Number : 1073518072
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. COURTNEY CHEYNE COBBS OD
Provider Business Mailing Address
First Line : PO BOX 519
Second Line :
City : GRANBURY
State : TX
Zip : 76048-0519
Country : US
Telephone Number : 817-408-7636
Fax Number :
Provider Business Practice Location Address
First Line : 4000 E US HIGHWAY 377
Second Line :
City : GRANBURY
State : TX
Zip : 76049-7432
Country : US
Telephone Number : 817-573-7153
Fax Number : 817-573-5640
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2005
Last Update Date : 07/29/2025

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Directions to “ DR. COURTNEY CHEYNE COBBS OD” Practice Location

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