Provider Demographics
NPI:1194713354
Name:COBOS, EVERARDO (MD)
Entity type:Individual
Prefix:
First Name:EVERARDO
Middle Name:
Last Name:COBOS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 531968
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78553-1968
Mailing Address - Country:US
Mailing Address - Phone:956-296-1437
Mailing Address - Fax:956-296-6842
Practice Address - Street 1:2902 HAINE DR
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-8969
Practice Address - Country:US
Practice Address - Phone:956-296-4000
Practice Address - Fax:956-296-2842
Is Sole Proprietor?:No
Enumeration Date:2005-10-12
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH3808207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM52514Medicaid
TX89Y650OtherBC/BS
TX110507101Medicaid
TX129952102Medicaid
TX110507100OtherFIRSTCARE COMMERCIAL
TX129952101Medicaid
A018OtherTRIWEST
NMH2804Medicaid
OK100169620AMedicaid
NM52514OtherPRESBYTERIAN COMMERCIAL
TX80783ZOtherHMO BLUE
830004575Medicare ID - Type UnspecifiedRAILROAD MEDICARE
TX129952101Medicaid
TX110507100OtherFIRSTCARE COMMERCIAL