MEDICARE: DR. STEPHANIE JOHNSTON COHEN D.C.

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	111NR0400X	Rehabilitation Chiropractor	11677	TX

General Provider Information

NPI Number	:	1992095962
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHANIE JOHNSTON COHEN D.C.

Provider Business Mailing Address
First Line	:	16422 DAWNCREST WAY
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77498-7135
Country	:	US
Telephone Number	:	832-315-9721
Fax Number	:	713-513-5335

Provider Business Practice Location Address
First Line	:	4502 RIVERSTONE BLVD STE 101
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-5213
Country	:	US
Telephone Number	:	832-315-9721
Fax Number	:	713-513-5335

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

Provider Enumeration Date	:	04/12/2011
Last Update Date	:	10/20/2020

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