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Individual

DR. JOHN MICHAEL COBB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6502 SLIDE RD, SUITE 311, LUBBOCK, TX 79424-1329
(806) 791-5100
(806) 793-4780
Mailing address
PO BOX 54136, LUBBOCK, TX 79453-4136
(806) 771-1386
(806) 771-1388

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
L6013
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
138909100
FIRSTCARE
TX
05
162725901
TX
01
8M2230
BLUECROSS BLUESHIELD
TX
Enumeration date
11/22/2005
Last updated
04/23/2008
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