Provider Demographics
NPI:1831694124
Name:COHEN, ZACHARY ALAN (DPM)
Entity type:Individual
Prefix:
First Name:ZACHARY
Middle Name:ALAN
Last Name:COHEN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2010 W KATHERINE P RAINES RD STE 300
Mailing Address - Street 2:
Mailing Address - City:CLEBURNE
Mailing Address - State:TX
Mailing Address - Zip Code:76033-7447
Mailing Address - Country:US
Mailing Address - Phone:817-556-3212
Mailing Address - Fax:817-645-9845
Practice Address - Street 1:2010 W KATHERINE P RAINES RD STE 300
Practice Address - Street 2:
Practice Address - City:CLEBURNE
Practice Address - State:TX
Practice Address - Zip Code:76033-7447
Practice Address - Country:US
Practice Address - Phone:817-556-3212
Practice Address - Fax:817-645-9845
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-28
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3088213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Multi-Specialty