| Chanel Dior Cochran, | |
|
18951 N Memorial Dr, Humble, TX 77338-4217 | |
| (904) 372-3943 | |
| Not Available |
| Full Name | Chanel Dior Cochran |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 18951 N Memorial Dr, Humble, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073024089 | NPI | - | NPPES |
| 395738301 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP135531 (Texas) | Primary |
| Entity Name | University of Texas Health Science Center at San Antonio |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720051717 PECOS PAC ID: 0042128548 Enrollment ID: O20040607000664 |
| Entity Name | Wellmed Networks, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386948677 PECOS PAC ID: 6002091261 Enrollment ID: O20110503000555 |
| Mailing Address | Practice Location Address |
|---|---|
| Chanel Dior Cochran, 7751 Belfort Pkwy Ste 120, Jacksonville, FL 32256-6921 Ph: (904) 372-3943 | Chanel Dior Cochran, 18951 N Memorial Dr, Humble, TX 77338-4217 Ph: (904) 372-3943 |
Tyler Walker, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1806 Humble Place Dr, Humble, TX 77338 Phone: 281-369-9514 |
Monica S Jackson, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 93 Isaacks Rd, Humble, TX 77338 Phone: 281-446-7159 |
Kimbria Nicole Blunt, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 17904 W Lake Houston Pkwy Ste 703, Humble, TX 77346 Phone: 281-346-7752 Fax: 866-263-0972 |
Michael Chen, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18838 S Memorial Dr Ste 106, Humble, TX 77338 Phone: 713-338-6422 |
Amanda Graff, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 22999 Hwy 59 N, Humble, TX 77339 Phone: 281-348-8000 |
Ruth W Nginyi, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 17202 Spirit Falls Ct, Humble, TX 77346 Phone: 832-896-2836 |
Kacy Hincapie, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18835 Mckay Dr, Humble, TX 77338 Phone: 832-644-8930 |