Individual
CHANEL DIOR COCHRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229
(210) 358-4000
Mailing address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 450-9000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP135531
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
395738301
—
TX
Enumeration date
10/17/2017
Last updated
05/07/2019
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