Organization
COCKERELL DERMATOLOGY CONSULTING SERVICES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLAY J COCKERELL MD (PRESIDENT)
(214) 530-5200
Entity
Organization
Contact information
Practice address
2110 RESEARCH ROW, 100, DALLAS, TX 75235-2520
(214) 530-5200
(214) 530-5230
Mailing address
PO BOX 673596, DALLAS, TX 75267-3596
(817) 379-5381
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
F9311
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127246001
—
AR
05
—
137371406
—
TX
01
—
60RQ
BLUE CROSS
TX
Enumeration date
01/24/2007
Last updated
01/12/2026
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