Individual
CODY MITCHELL COBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
129 VISION PARK BLVD STE 109, SHENANDOAH, TX 77384-3024
(936) 273-0836
(936) 321-2266
Mailing address
129 VISION PARK BLVD STE 109, SHENANDOAH, TX 77384-3024
(936) 273-0836
(713) 500-6882
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
U5664
TX
390200000X
Student in an Organized Health Care Education/Training Program
BP10074081
TX
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/29/2018
Last updated
08/15/2023
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