Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | AP135857 | TX |
NPI | 1003329814 |
---|---|
Provider Name | Dean Alan Cochran |
First Address | Plano, TX 75026-1092 |
Second Address | Plano, TX 75024-3382 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/11/2017 |
Last Update Date | 17/03/2018 |