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NPI Code Detail

MEDICARE: LARRY D. COHEN O.D.

MEDICARE:   LARRY D. COHEN  O.D.
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
1174400000XSpecialist2484TGTX

General Provider Information

NPI Number : 1518017433
Entity Type Code : Individual
Provider Name (Legal Business Name) : LARRY D. COHEN O.D.
Provider Business Mailing Address
First Line : 1318 MAIN ST
Second Line :
City : HOUSTON
State : TX
Zip : 77002-6803
Country : US
Telephone Number : 713-995-0042
Fax Number : 713-995-0548
Provider Business Practice Location Address
First Line : 1318 MAIN ST
Second Line :
City : HOUSTON
State : TX
Zip : 77002-6803
Country : US
Telephone Number : 713-995-0042
Fax Number : 713-995-0548
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2007
Last Update Date : 07/08/2007

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Directions to “ LARRY D. COHEN O.D.” Practice Location

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