Individual
AMY COBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R3054
TX
208000000X
Pediatrics Physician
Primary
R3054
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
574036
TEXAS MEDICAL BOARD ID
TX
01
—
7004814074
ACGME PROGRAM ID
TX
01
—
BP10046577
TEXAS MEDICAL BOARD PERMIT NUMBER
TX
Enumeration date
05/11/2013
Last updated
10/30/2025
Update your record
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