Provider Demographics
NPI:1881604072
Name:COHN, JOSEPH MICHAEL (MD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:MICHAEL
Last Name:COHN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:6118 PARKWAY DR
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78414-2455
Mailing Address - Country:US
Mailing Address - Phone:361-883-2000
Mailing Address - Fax:361-883-0573
Practice Address - Street 1:1305 N MILAM ST
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:TX
Practice Address - Zip Code:78624-2752
Practice Address - Country:US
Practice Address - Phone:830-266-5576
Practice Address - Fax:830-266-5592
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXK4664207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0304388Medicaid
TX030438803Medicaid
TX4965220001Medicare NSC
TX8A7603Medicare PIN