Cochrum, Jason

Cochrum, Jason is an individual health care provider with primary practice located at 2701 Hospital Dr , Victoria TX 77901-5749. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Cochrum, Jason can be contacted via phone (361) 575-6396.

Contact Information

Primary practice address
2701 Hospital Dr Victoria TX 77901-5749
Phone: (361) 575-6396
Fax: (361) 578-5203
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP126620 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP126620 Texas

Profile Details

NPI number 1033513890
LBN Legal business name Cochrum, Jason
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 22nd, 2014
Last updated Nov 3rd, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033513890 NPPES
Texas MEDICAID 342310201

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