Provider Demographics
NPI:1376794271
Name:COCKERELL MANAGEMENT LTD LLP
Entity Type:Organization
Organization Name:COCKERELL MANAGEMENT LTD LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFRY
Authorized Official - Middle Name:DOBBS
Authorized Official - Last Name:COCKERELL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:713-876-3030
Mailing Address - Street 1:2319 OAK LINKS AVE
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77059-4402
Mailing Address - Country:US
Mailing Address - Phone:713-876-3030
Mailing Address - Fax:281-286-4744
Practice Address - Street 1:3115 COLLEGE PARK DR STE 101
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77384-4001
Practice Address - Country:US
Practice Address - Phone:936-321-4345
Practice Address - Fax:936-321-4353
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-09
Last Update Date:2010-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4327261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical