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NPI Code Detail

MEDICARE: DR. DAVID JOHN COHEN MD

MEDICARE: DR. DAVID JOHN 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
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianH3008TX
2208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianMD022531EPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1861499337
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID JOHN COHEN MD
Provider Business Mailing Address
First Line : 14615 SAN PEDRO AVE
Second Line : SUITE 218
City : SAN ANTONIO
State : TX
Zip : 78232-4321
Country : US
Telephone Number : 210-495-4200
Fax Number : 210-495-4203
Provider Business Practice Location Address
First Line : 252 S 4TH ST FL 2
Second Line :
City : LEBANON
State : PA
Zip : 17042-6111
Country : US
Telephone Number : 717-270-3751
Fax Number : 717-270-3754
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2005
Last Update Date : 03/17/2018

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