Individual ProviderAudra CochranInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1100 Wilford Hall Loop, Jbsa Lackland, TX 78236-5638(210) 292-4278PECOS EnrollmentBased on the most recent information from CMS, provider Audra Cochran is legally eligible to order and refer claims for DME and PMD services only.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1073861720Provider TypeIndividualFull NameCochran, AudraTitleDr.CredentialMDGenderFemaleSole ProprietorYesEnumeration Date8/28/2012Last Updated7/8/2024Contact InformationPractice LocationPractice Address1100 Wilford Hall Loop, Jbsa Lackland, TX 78236-5638Phone(210) 292-4278FaxUnlisted FaxMailing LocationMailing Address1100 Wilford Hall Loop, Jbsa Lackland, TX 78236-5638PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense28003Mississippi