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COCKERELL DERMATOLOGY CONSULTING SERVICES PA NPI 1083769467


NPI Information

NPI: 1083769467
Provider Name: COCKERELL DERMATOLOGY CONSULTING SERVICES, PA
Classification: Dermatology - 207ND0900X
Entity Type: Organization

Specialization: Dermatopathology

CLIA Number: 45D0988704

Address:
2110 RESEARCH ROW
SUITE 100
DALLAS, TX
ZIP 75235
Phone: (214) 530-5200
Get Directions

COCKERELL DERMATOLOGY CONSULTING SERVICES, PA is a dermatopathology dermatology in Dallas, TX. The provider is a dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. COCKERELL DERMATOLOGY CONSULTING SERVICES, PA NPI is 1083769467. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2110 RESEARCH ROW
SUITE 100
DALLAS, TX
ZIP 75235-520
Phone: (214) 530-5200

The provider's authorized official is Jean Haywood .
The authorized official title is Accounts Manager and has the following contact phone number (817) 379-5381.

The CLIA number assigned to this NPI record is 45D0988704 - other - consulting services with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 1/24/2007 and was last updated on 8/26/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207ND0900XDermatologyDermatopathologyF9311TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100Z642MEDICARE PIN
2127246001MEDICAIDARKANSAS
360RQOTHERTEXASBLUE CROSS
4A63878MEDICARE UPINTEXAS
5137371406MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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