MEDICARE: HOWARD M COHEN M.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
1	2084P2900X	Pain Medicine (Psychiatry & Neurology) Physician	H0256	TX
2	2084P0805X	Geriatric Psychiatry Physician	H0256	TX
3	2084P0802X	Addiction Psychiatry Physician	H0256	TX
4	2084P0015X	Psychosomatic Medicine Physician	H0256	TX
5	2084P0800X	Psychiatry Physician	H0256	TX

General Provider Information

NPI Number	:	1962516112
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOWARD M COHEN M.D.

Provider Business Mailing Address
First Line	:	4004 WORTH ST
Second Line	:	#300
City	:	DALLAS
State	:	TX
Zip	:	75246-1607
Country	:	US
Telephone Number	:	214-826-8000
Fax Number	:	214-826-8001

Provider Business Practice Location Address
First Line	:	4004 WORTH ST
Second Line	:	SUITE 300
City	:	DALLAS
State	:	TX
Zip	:	75246-1607
Country	:	US
Telephone Number	:	214-826-8000
Fax Number	:	214-826-8001

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/17/2006
Last Update Date	:	09/14/2015

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Directions to “ HOWARD M COHEN M.D.” Practice Location

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