Provider Demographics
NPI:1306845839
Name:COCHRAN, CHRISTOPHER SPENCER (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:SPENCER
Last Name:COCHRAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:8144 WALNUT HILL LN
Mailing Address - Street 2:#170
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-4388
Mailing Address - Country:US
Mailing Address - Phone:214-369-8123
Mailing Address - Fax:214-369-2984
Practice Address - Street 1:8144 WALNUT HILL LN
Practice Address - Street 2:#170
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4388
Practice Address - Country:US
Practice Address - Phone:214-369-8123
Practice Address - Fax:214-369-2984
Is Sole Proprietor?:No
Enumeration Date:2005-07-18
Last Update Date:2009-09-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXL5285207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0A0055OtherMEDICARE PTAN