Provider Demographics
NPI:1376734715
Name:DRS. ROTHSCHILD & SOMER, ASSOCIATED
Entity Type:Organization
Organization Name:DRS. ROTHSCHILD & SOMER, ASSOCIATED
Other - Org Name:PETER D. COHN, M.D.
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:D
Authorized Official - Last Name:COHN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-750-6711
Mailing Address - Street 1:8210 WALNUT HILL LN
Mailing Address - Street 2:#907
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-4405
Mailing Address - Country:US
Mailing Address - Phone:214-750-6711
Mailing Address - Fax:214-750-6226
Practice Address - Street 1:8210 WALNUT HILL LN
Practice Address - Street 2:#907
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4405
Practice Address - Country:US
Practice Address - Phone:214-750-6711
Practice Address - Fax:214-750-6226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-08
Last Update Date:2007-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE9584207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX89A342Medicare PIN