Individual
ELIZABETH A. COBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
M0384
TX
207RN0300X
Nephrology Physician
Primary
M0384
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
174621100
FIRSTCARE (GRACE CLINIC)
TX
05
—
192750101
—
TX
01
—
8AM632
BCBS-TX (GRACE CLINIC PHYSICIAN)
TX
01
—
9698182
AETNA (GRACE CLINIC)
TX
Enumeration date
08/23/2007
Last updated
03/27/2012
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