Organization Name: | GAYLON W COCHRAN |
NPI Number: | 1821098435 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GAYLON COCHRAN (OWNER/MANAGER) |
Mailing Address: | Hwy 83 North Childress |
State: | TX US |
Postal Code: | 79201 |
Phone Number: | 9409378683 |
Fax Number: | 9409376438 |
NPI Enumeration Date: | 07/26/2005 |
NPI Last Update Date: | 04/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | TX0011249 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |