Individual
DR. CLAY J COCKERELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2110 RESEARCH ROW, SUITE 100, DALLAS, TX 75235-2519
(214) 530-5200
(214) 530-5230
Mailing address
2110 RESEARCH ROW, SUITE 100, DALLAS, TX 75235-2519
(214) 530-5200
(214) 530-5230
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
F9311
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0019AY
BLUE CROSS
TX
05
—
13737106
—
TX
Enumeration date
01/18/2006
Last updated
05/20/2014
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