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General NPI Number Information
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NPI Number | 1457374142
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Entity Type | Individual
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Provider Name | STEPHEN C COHEN M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 11/16/2009
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Provider Practice Location Address
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Address Line | 2130 N.E.LOOP 410 SUITE #250
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City | SAN ANTONIO
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State | TX
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Zip | 78217-4660
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Country | US
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Telephone | 210-590-8206
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Fax | 210-590-8251
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Provider Business Mailing Address
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Address Line | 2130 N.E.LOOP 410 SUITE #250
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City | SAN ANTONIO
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State | TX
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Zip | 78217-4660
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Country | US
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Telephone | 210-590-8206
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Fax | 210-590-8251
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | E3883
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License Number State | TX
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