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Contact Information

COCKERELL DERMATOLOGY CONSULTING SERVICES, PA
2110 RESEARCH ROW
100
DALLAS, TX75235-2520
 Phone: 214-530-5200
 Fax: 214-530-5230
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatopathology

207ND0900X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for COCKERELL DERMATOLOGY CONSULTING SERVICES, PA

NPI # 1083769467
LBN Legal business name COCKERELL DERMATOLOGY CONSULTING SERVICES, PA
Authorized official CLAY COCKERELL - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/24/2007
Last updated 01/12/2026 - About 5 months ago
Identifiers
TX License # F9311
AR Medicaid 127246001
TX Medicaid 137371406
TX Other 60RQ BLUE CROSS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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