MEDICARE: DR. DAVID KRISS COHEN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	H2309	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730271495
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID KRISS COHEN MD

Provider Business Mailing Address
First Line	:	3301 PLAINVIEW ST
Second Line	:	6
City	:	PASADENA
State	:	TX
Zip	:	77504
Country	:	US
Telephone Number	:	713-943-2036
Fax Number	:	713-943-8095

Provider Business Practice Location Address
First Line	:	3301 PLAINVIEW ST
Second Line	:	#D6
City	:	PASADENA
State	:	TX
Zip	:	77504
Country	:	US
Telephone Number	:	713-943-2036
Fax Number	:	713-943-8095

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/29/2006
Last Update Date	:	09/30/2011

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