Healthcare Provider Details

I. General information

NPI: 1255705778
Provider Name (Legal Business Name): SHARON HAUSMAN-COHEN, MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2015
Last Update Date: 11/20/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11149 RESEARCH BLVD SUITE 210
AUSTIN TX
78759-5279
US

IV. Provider business mailing address

11149 RESEARCH BLVD SUITE 210
AUSTIN TX
78759-5279
US

V. Phone/Fax

Practice location:
  • Phone: 512-231-1901
  • Fax: 512-231-1902
Mailing address:
  • Phone: 512-231-1901
  • Fax: 512-231-1902

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: CARLY JOHNSON
Title or Position: BILLING MANAGER
Credential:
Phone: 512-231-1901