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Organization

JOSEPH A. COCCO DO, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. TINA LYNNETTE LEWELLEN (CLAIMS SPECIALIST)
(817) 517-9369
Entity
Organization

Contact information

Practice address
5801 OAKBEND TRL, STE. 270, FORT WORTH, TX 76132-3912
(817) 263-6660
Mailing address
5801 OAKBEND TRL, STE. 270, FORT WORTH, TX 76132-3912
(817) 263-6660

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
L4308
TX

Other

Enumeration date
07/10/2008
Last updated
07/17/2008
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