Provider Demographics
NPI:1982696753
Name:COHAN, STUART K (MD)
Entity Type:Individual
Prefix:DR
First Name:STUART
Middle Name:K
Last Name:COHAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5430 RUTHERGLENN DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77096-4032
Mailing Address - Country:US
Mailing Address - Phone:713-721-0146
Mailing Address - Fax:713-721-0146
Practice Address - Street 1:6421 FANNIN ST
Practice Address - Street 2:MSB 3-142
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1501
Practice Address - Country:US
Practice Address - Phone:713-500-5666
Practice Address - Fax:713-500-0527
Is Sole Proprietor?:No
Enumeration Date:2005-08-18
Last Update Date:2024-05-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXC- 4776204C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204C00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine, Sports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXPO81450B6Medicaid
TXG35775Medicare UPIN
TXPO81450B6Medicaid