Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QA0505X | Family Doctor - Adult Medicine | J7933 | TX |
Y | 207RR0500X | Rheumatology | J7933 | TX |
NPI | 1063485886 |
---|---|
Provider Name | Steven J Cohen |
First Address | Dallas, TX 75284-6098 |
Second Address | Tyler, TX 75701-4443 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/02/2006 |
Last Update Date | 01/04/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
110115677 | MEDICARE RAILROAD (01) | TX |
117681002 | (05) | TX |
117681004 | (05) | TX |
123033 | CHIPS (01) | TX |
4110112 | AETNA (01) | TX |
752616977061 | TRICARE CHAMPUS (01) | TX |
83Y726 | BCBS OF TEXAS (01) | TX |
CO083Y726 | BCBS (01) | TX |
E21958 | (02) |