Provider Demographics
NPI:1770877912
Name:COHODES, DAVID HASKELL (DC)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:HASKELL
Last Name:COHODES
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1108 LAVACA ST
Mailing Address - Street 2:SUITE 110-432
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78701-2172
Mailing Address - Country:US
Mailing Address - Phone:512-250-9799
Mailing Address - Fax:
Practice Address - Street 1:12701 RESEARCH BLVD
Practice Address - Street 2:SUITE 309
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-4386
Practice Address - Country:US
Practice Address - Phone:512-250-9799
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-06
Last Update Date:2011-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11765111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician