Cobb, Gudrun P.

Cobb, Gudrun P. is an sole proprietor health care provider with primary practice located at 103 12Th St Suite 101, Pflugerville TX 78660-3960. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Cobb, Gudrun P. can be contacted via phone (512) 989-3334.

Contact Information

Primary practice address
103 12Th St Suite 101 Pflugerville TX 78660-3960
Fax: (512) 989-3390
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 680265 Texas

Profile Details

NPI number 1679596506
LBN Legal business name Cobb, Gudrun P.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 25th, 2006
Last updated Nov 28th, 2016 - about 8 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 1679596506 NPPES
Texas MEDICAID 2902645

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