Individual
TONYA C COCKRILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 VISION PARK BLVD, SUITE 100, SHENANDOAH, TX 77384-3011
(936) 273-5214
(936) 273-5454
Mailing address
101 VISION PARK BLVD, SUITE 100, SHENANDOAH, TX 77384-3011
(936) 273-5214
(936) 273-5454
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
N2445
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N2445
MEDICAL LICENSE
TX
Enumeration date
05/22/2009
Last updated
09/19/2012
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