Provider Demographics
NPI:1700665684
Name:COCKRELL HILL DENTAL, PLLC
Entity Type:Organization
Organization Name:COCKRELL HILL DENTAL, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:A
Authorized Official - Last Name:LABBE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:956-242-4245
Mailing Address - Street 1:1400 GUADALUPE ST STE A
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78040-5316
Mailing Address - Country:US
Mailing Address - Phone:956-242-4245
Mailing Address - Fax:956-489-5064
Practice Address - Street 1:926 S COCKRELL HILL RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75211-4924
Practice Address - Country:US
Practice Address - Phone:956-242-4245
Practice Address - Fax:956-489-5064
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-28
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty