Provider Demographics
NPI:1699971291
Name:COBIA, CINDY (RN)
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:
Last Name:COBIA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1013 W 7TH ST
Mailing Address - Street 2:
Mailing Address - City:TAYLOR
Mailing Address - State:TX
Mailing Address - Zip Code:76574-2510
Mailing Address - Country:US
Mailing Address - Phone:512-925-0343
Mailing Address - Fax:512-278-4098
Practice Address - Street 1:1013 W 7TH ST
Practice Address - Street 2:
Practice Address - City:TAYLOR
Practice Address - State:TX
Practice Address - Zip Code:76574-2510
Practice Address - Country:US
Practice Address - Phone:512-925-0343
Practice Address - Fax:512-278-4098
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX255938171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator