Provider Demographics
NPI:1053467845
Name:SCOTT A. COHEN M D P A
Entity Type:Organization
Organization Name:SCOTT A. COHEN M D P A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:A
Authorized Official - Last Name:COHEN
Authorized Official - Suffix:
Authorized Official - Credentials:M D
Authorized Official - Phone:281-362-0001
Mailing Address - Street 1:6655 TRAVIS ST
Mailing Address - Street 2:SUITE 840
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-1312
Mailing Address - Country:US
Mailing Address - Phone:281-362-0001
Mailing Address - Fax:281-362-7995
Practice Address - Street 1:6655 TRAVIS ST
Practice Address - Street 2:SUITE 840
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1312
Practice Address - Country:US
Practice Address - Phone:281-362-0001
Practice Address - Fax:281-362-7995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-26
Last Update Date:2008-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1134264-02Medicaid
0030BQOtherBLUE CROSS BLUE SHIELD