Individual
EDWARD D COCCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
6431 FANNIN ST, 7148, HOUSTON, TX 77030-1501
(713) 500-6150
Mailing address
PO BOX 201088, HOUSTON, TX 77216-1088
(713) 500-3500
(713) 500-5484
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA03080
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
89N446
BCBS
TX
Enumeration date
06/06/2006
Last updated
07/08/2007
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