Doctor Name: | CARLA ANN COCHRAN |
NPI Number: | 1003284068 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP-C, FNP-BC |
License Number: | AP128979 |
Business Practice Address: | 5012 S Us Highway 75 Suite 290 Denison, TX - 750204587 |
Business Phone Number: | 9034655012 |
Business Fax Number: | 9037710270 |
Mailing Address: | 1831 Red Fox Rd, DURANT |
State: | OK |
Postal Code: | 747012103 |
Phone Number: | 5805793866 |
Fax Number: | |
NPI Enumeration Date: | 09/08/2015 |
NPI Last Update Date: | 01/20/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP128979 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |