Individual
DR. VICTOR L COBOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1300 FULTON ST, SUITE 203, DENTON, TX 76201-2688
(940) 382-2646
(940) 384-1610
Mailing address
1300 FULTON ST, SUITE 203, DENTON, TX 76201-2688
(940) 382-2646
(940) 384-1610
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
K8089
TX
208600000X
Surgery Physician
Primary
K8089
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047495902
—
TX
01
—
2192502
AETNA
TX
01
—
8A7386
BLUE CROSS BLUE SHIELD
TX
01
—
94515
AMERIGROUP
TX
Enumeration date
07/21/2005
Last updated
04/01/2014
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