Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | 5952 | TX |
NPI | 1669552444 |
---|---|
Provider Name | Dr. William Curtis Cogburn |
First Address | Pearsall, TX 78061 |
Second Address | Pearsall, TX 78061 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U34702 | (02) | TX |