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General NPI Number Information
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NPI Number | 1447131362
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Entity Type | Organization
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Legal Business Name | TODD K. COWAN, MD, PLLC
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Dates
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Enumeration Date | 09/09/2025
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Last Update Date | 02/23/2026
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Provider Practice Location Address
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Address Line | 6324 WAVERLY WAY STE 101
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City | FORT WORTH
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State | TX
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Zip | 76116-5545
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Country | US
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Telephone | 817-228-3537
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Fax | 833-764-4192
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Provider Business Mailing Address
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Address Line | 2401 STADIUM DR
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City | FORT WORTH
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State | TX
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Zip | 76109-1055
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Country | US
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Telephone | 817-307-7660
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. TODD KREIG COWAN
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Credential |
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Telephone | 817-228-3537
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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