Provider Demographics
NPI:1497848691
Name:JOSE COHEN MD PA
Entity Type:Organization
Organization Name:JOSE COHEN MD PA
Other - Org Name:VALLEY WOMEN'S CLINIC PA
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:
Authorized Official - Last Name:COHEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-423-4030
Mailing Address - Street 1:1717 N ED CAREY DR
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-8203
Mailing Address - Country:US
Mailing Address - Phone:956-423-4030
Mailing Address - Fax:956-423-9188
Practice Address - Street 1:1717 N ED CAREY DR
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-8203
Practice Address - Country:US
Practice Address - Phone:956-423-4030
Practice Address - Fax:956-423-9188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2014-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG2591174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX183056401Medicaid
TX00X004Medicare PIN