Provider Demographics
NPI:1710920269
Name:COCHRAN, ERNEST WINSTON JR (MD)
Entity Type:Individual
Prefix:DR
First Name:ERNEST
Middle Name:WINSTON
Last Name:COCHRAN
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 911230
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75391-1230
Mailing Address - Country:US
Mailing Address - Phone:972-997-8000
Mailing Address - Fax:972-437-9605
Practice Address - Street 1:3550 NE LOOP 286
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:TX
Practice Address - Zip Code:75460-5004
Practice Address - Country:US
Practice Address - Phone:903-785-0031
Practice Address - Fax:903-484-6755
Is Sole Proprietor?:No
Enumeration Date:2006-06-13
Last Update Date:2016-12-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXF1460207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX830000144OtherRAILROAD
OK100153600AMedicaid
TX8R1412OtherBLUE CROSS OF TEXAS
TX132529202Medicaid
C14573Medicare UPIN
OK100153600AMedicaid
OK100153600AMedicaid
TX132529201Medicaid