Provider Demographics
NPI:1669745113
Name:DAVID K COHEN MDPA
Entity type:Organization
Organization Name:DAVID K COHEN MDPA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:KRISS
Authorized Official - Last Name:COHEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-943-2036
Mailing Address - Street 1:3301 PLAINVIEW ST
Mailing Address - Street 2:#D6
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77504-1958
Mailing Address - Country:US
Mailing Address - Phone:713-943-2036
Mailing Address - Fax:713-943-8095
Practice Address - Street 1:3301 PLAINVIEW ST
Practice Address - Street 2:#D6
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77504-1958
Practice Address - Country:US
Practice Address - Phone:713-943-2036
Practice Address - Fax:713-943-8095
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-14
Last Update Date:2012-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH2309207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX115987301Medicaid
TX115987301Medicaid