Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | H4243 | TX |
NPI | 1578728192 |
---|---|
Provider Name | Dr. Scott Cohen |
First Address | Houston, TX 77030-1312 |
Second Address | Houston, TX 77030-1312 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/07/2008 |
Last Update Date | 23/07/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F58500 | (02) | TX |