Provider Demographics
NPI:1548543242
Name:COCOS, MIHAELA ROXANA (RN, MSN, NP-C)
Entity type:Individual
Prefix:
First Name:MIHAELA
Middle Name:ROXANA
Last Name:COCOS
Suffix:
Gender:F
Credentials:RN, MSN, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4701 CHARLES PL
Mailing Address - Street 2:APT 722
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-7456
Mailing Address - Country:US
Mailing Address - Phone:469-467-0348
Mailing Address - Fax:
Practice Address - Street 1:3535 N BUCKNER BLVD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75228-5548
Practice Address - Country:US
Practice Address - Phone:214-660-1011
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-20
Last Update Date:2013-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX724767363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily