Provider Demographics
NPI:1497995914
Name:COCHRAN, CHRISTINA ANN (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:ANN
Last Name:COCHRAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:CHRISTINA
Other - Middle Name:ANN
Other - Last Name:LOPEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:425 OLD NEWMAN RD
Mailing Address - Street 2:STE 100
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75036-4773
Mailing Address - Country:US
Mailing Address - Phone:757-333-0368
Mailing Address - Fax:703-649-6416
Practice Address - Street 1:425 OLD NEWMAN RD
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75036-4772
Practice Address - Country:US
Practice Address - Phone:972-712-5556
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-23
Last Update Date:2019-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104557172111N00000X
TX10960111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAVVF134D989Medicare PIN