Individual
MS. MARTHA JULIA COBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN FNP
Contact information
Practice address
9900 BREN RD E, MAIL ROUTE MN 008-B213, MINNETONKA, MN 55343-9664
(361) 449-0624
Mailing address
353 JACKSON RD, KINGSBURY, TX 78638-2117
(361) 449-0624
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
642399
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
642399
BNE LICENSE
TX
01
—
70132711
DPS
TX
Enumeration date
09/22/2006
Last updated
07/13/2020
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