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NPI Code Detail

MEDICARE: JOHN M COCUZZI MD

MEDICARE: JOHN M COCUZZI MD
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
1207Q00000XFamily Medicine PhysicianL1296TX

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 : 1689676637
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN M COCUZZI MD
Provider Business Mailing Address
First Line : 2029 W BEAUREGARD AVE
Second Line :
City : SAN ANGELO
State : TX
Zip : 76901-3812
Country : US
Telephone Number : 325-658-5339
Fax Number : 325-659-8534
Provider Business Practice Location Address
First Line : 1610 S CHADBOURNE ST
Second Line :
City : SAN ANGELO
State : TX
Zip : 76903-8510
Country : US
Telephone Number : 325-658-5339
Fax Number : 325-659-8534
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2005
Last Update Date : 08/26/2013

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