Individual
DR. BRIAN THOMAS COCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3600 MEMORIAL BLVD, KERRVILLE, TX 78028-5819
(830) 792-2581
(830) 792-2473
Mailing address
2212 ROCK CREEK DR, KERRVILLE, TX 78028-6502
(979) 446-9829
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01063055A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134272479
VETERANS ADMINISTRATION
IN
Enumeration date
01/19/2007
Last updated
10/21/2019
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