Cochran Orthodontics Pllc | |
14855 Blanco Rd #109 San Antonio TX 78216-7728 | |
(210) 714-5525 | |
(210) 981-1501 |
Full Name | Cochran Orthodontics Pllc |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 14855 Blanco Rd, San Antonio, Texas |
Authorized Official Name and Position | Devin Scott Cochran (OWNER) |
Authorized Official Contact | 2107145525 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Cochran Orthodontics Pllc 14855 Blanco Rd #109 San Antonio TX 78216-7728 Ph: (210) 714-5525 | Cochran Orthodontics Pllc 14855 Blanco Rd #109 San Antonio TX 78216-7728 Ph: (210) 714-5525 |
NPI Number | 1366984395 |
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Provider Enumeration Date | 11/08/2016 |
Last Update Date | 11/08/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366984395 | NPI | - | NPPES |
090636402 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 14478 (Texas) | Primary |
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