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NPI Code Detail

MEDICARE: DR. CHRISTOPHER SPENCER COCHRAN M.D.

MEDICARE: DR. CHRISTOPHER SPENCER COCHRAN M.D.
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
1207Y00000XOtolaryngology PhysicianL5285TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10A0055OTHERTXMEDICARE PTAN

General Provider Information

NPI Number : 1306845839
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTOPHER SPENCER COCHRAN M.D.
Provider Business Mailing Address
First Line : 8144 WALNUT HILL LN
Second Line : #170
City : DALLAS
State : TX
Zip : 75231-4388
Country : US
Telephone Number : 214-369-8123
Fax Number : 214-369-2984
Provider Business Practice Location Address
First Line : 8144 WALNUT HILL LN
Second Line : #170
City : DALLAS
State : TX
Zip : 75231-4388
Country : US
Telephone Number : 214-369-8123
Fax Number : 214-369-2984
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2005
Last Update Date : 09/02/2009

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