John C Cockrum
Registered Nurse in San Antonio, TX. Individual provider (NPI-1).
NPI number1134095367
StatusActive
Last updated in NPPESOct 14, 2025
Details
- NPI
- 1134095367
- Entity type
- Individual (NPI-1)
- Name
- John C Cockrum
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 14, 2025
- Certification date
- Oct 14, 2025
- Last updated
- Oct 14, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 779692 | TX | Yes |
Practice location
7400 Merton Minter StSan Antonio, TX 78229-4404
Phone 210-617-5300
Mailing address
226 La JollaLive Oak, TX 78233-2514
Phone 210-393-8842
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