Jack Taylor Cockburn in Lewisville - Professional

Jack Taylor Cockburn - NPI 1972690303

Jack Taylor Cockburn is a Professional in Lewisville, Texas. Jack Taylor Cockburn practices all healthcare services and medical treatments related to Professional. The NPI Number for Jack Taylor Cockburn is 1972690303. The last update date is 2008-08-26.

Jack Taylor Cockburn's current location address is 131 Degan, Lewisville, Texas. You can contact this provider via phone number 9724368881 and fax number 9723557934. The mailing address for Jack Taylor Cockburn is 131 Degan, Lewisville, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Jack Taylor Cockburn
Address 131 Degan, Lewisville, Texas
Phone Number 9724368881
Fax Number 9723557934
Sole Proprietor Y
Credentials PHD

NPI Number Detail

NPI Number 1972690303
Provider Enumeration Date 2006-10-06
Last Updated Date 2008-08-26

Provider Mailing Address Detail

Address 131 Degan
City Lewisville
State Texas (TX)
Post Code 75057
Phone Number 9724368881
Fax Number 9723557934

Provider's Primary Taxonomy Detail

Speciality Professional
Taxonomy 101Yp2500X
Licence No 14096
Definition:
A general counselor who helps people with personal, social, educational, and career issues.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
28530601 TX --

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FAQs about Jack Taylor Cockburn

What is the unique 10-digit identifier code issued to Jack Taylor Cockburn by the Centers for Medicare & Medicaid Services?

The Jack Taylor Cockburn has been assigned the NPI (National Provider Identifier) 1972690303 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Can you provide the Jack Taylor Cockburn's physical address?

The Jack Taylor Cockburn is physically located at 131 Degan, in the city of Lewisville, TX, with the postal code 75057.

What is Jack Taylor Cockburn's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Jack Taylor Cockburn is Professional, and the taxonomy classification code that categorizes this area of expertise is 101Yp2500X.

When did Jack Taylor Cockburn receive its 1972690303 assignment?

The Jack Taylor Cockburn was assigned its 1972690303 on 2006-10-06, which is the date when this unique identifier was issued to the organization.

When was the information pertaining to Jack Taylor Cockburn most recently updated or revised?

The details related to Jack Taylor Cockburn, including its address, specialty, and other relevant information, were last updated or revised on 2008-08-26.

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