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NPI Code Detail

MEDICARE: AMY COBB

MEDICARE:   AMY  COBB
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
1208000000XPediatrics PhysicianR3054TX
2207R00000XInternal Medicine PhysicianR3054TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1BP10046577OTHERTXTEXAS MEDICAL BOARD PERMIT NUMBER
27004814074OTHERTXACGME PROGRAM ID
3574036OTHERTXTEXAS MEDICAL BOARD ID

General Provider Information

NPI Number : 1780020271
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY COBB
Provider Business Mailing Address
First Line : 919 LOCKE ST
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78208-2127
Country : US
Telephone Number : 210-644-8700
Fax Number : 210-644-8726
Provider Business Practice Location Address
First Line : 919 LOCKE ST
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78208-2127
Country : US
Telephone Number : 210-644-8700
Fax Number : 210-644-8726
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2013
Last Update Date : 10/30/2025

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Directions to “ AMY COBB ” Practice Location

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