Individual
JOHN WALTER COCHRAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1302 LANE ST, SUITE 900, IRVING, TX 75061-2245
(972) 259-8564
(972) 259-4048
Mailing address
4777 BYRON CIR, IRVING, TX 75038-6319
(972) 541-1411
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D7814
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D7814
STATE LICENSE
TX
Enumeration date
03/23/2006
Last updated
07/08/2007
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