Organization
COCKERELL DERMATOPATHOLOGY PA
Active
Organization
COCKERELL DERMATOPATHOLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLAY J COCKERELL M.D. (OWNER)
(214) 530-5200
Entity
Organization
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
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
03/25/2013
Last updated
01/11/2024
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