Individual
BETH ANN COCHRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
502 DOWDEN RD, WOLFFORTH, TX 79382-5546
(806) 725-6885
(806) 725-6886
Mailing address
2215 NASHVILLE AVE, LUBBOCK, TX 79410-1105
(806) 725-5844
(806) 723-6532
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M9930
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
196363901
—
TX
05
—
37857541
—
NM
01
—
8L1666
MEDICARE
TX
01
—
8V9888
BLUE CROSS BLUE SHEILD TX
TX
Enumeration date
07/23/2007
Last updated
10/02/2018
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