Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | N2996 | TX |
N | 111NI0900X | Internist | N2996 | TX |
N | 207RH0003X | Hematology & Oncology | 135119 | NC |
Y | 207RH0003X | Hematology & Oncology | N2996 | TX |
NPI | 1033358288 |
---|---|
Provider Name | Dr. Charles Lance Cowey |
First Address | Dallas, TX 75391-1230 |
Second Address | Dallas, TX 75246-2003 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/02/2009 |
Last Update Date | 01/09/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
203513101 | (05) | TX |
203513102 | (05) | TX |
66083U | (02) | NC |
P00758756 | RAILROAD MEDICARE (01) | TX |