Provider Demographics
NPI:1013941442
Name:COHN, PETER D (MD)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:D
Last Name:COHN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:6330 LBJ FWY
Mailing Address - Street 2:235
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75240-6467
Mailing Address - Country:US
Mailing Address - Phone:214-750-6711
Mailing Address - Fax:214-594-9014
Practice Address - Street 1:6330 LBJ FWY
Practice Address - Street 2:235
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75240-6467
Practice Address - Country:US
Practice Address - Phone:214-750-6711
Practice Address - Fax:214-594-9014
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2016-07-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXE9584207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX751565302OtherTAX ID #
TX751565302OtherTAX ID #