45D1072789 CLIA NUMBER - BRETT L COCHRUM, MD

Laboratory Demographics

CLIA Number: 45D1072789

Facility Name: BRETT L COCHRUM, MD

Facility Address:
6108 OAKBEND TRAIL , SUITE 102
FORT WORTH, TX
ZIP 76132
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Facility Phone Number: 817 294-4959

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1801836028

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	45D1072789
LAB Type	Physician Office
Facility Name	BRETT L COCHRUM, MD
Street	6108 OAKBEND TRAIL , SUITE 102
City	FORT WORTH
State	TX
ZIP	76132
Phone	817 294-4959
CertificateType	3
CertificateEffectiveDate	8/23/2023
CertificateExpirationDate	8/22/2025
FacilityType	PPMP

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This page was last updated on: 4/23/2024