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NPI Code Detail

MEDICARE: DR. RICHARD COHEN MD

MEDICARE:  DR. RICHARD  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
12085R0202XDiagnostic Radiology PhysicianD3187TX

General Provider Information

NPI Number : 1093707648
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD COHEN MD
Provider Business Mailing Address
First Line : 200 S ALTO MESA DR
Second Line :
City : EL PASO
State : TX
Zip : 79912-4426
Country : US
Telephone Number : 915-833-6631
Fax Number : 915-833-6618
Provider Business Practice Location Address
First Line : 2001 N OREGON ST
Second Line :
City : EL PASO
State : TX
Zip : 79902-3320
Country : US
Telephone Number : 915-833-6631
Fax Number : 915-833-6618
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2005
Last Update Date : 07/08/2007

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Directions to “ DR. RICHARD COHEN MD” Practice Location

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