Provider Demographics
NPI:1528067543
Name:COHEN, ARTHUR A
Entity type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:A
Last Name:COHEN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5407 N MESA ST
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-5420
Mailing Address - Country:US
Mailing Address - Phone:915-845-4013
Mailing Address - Fax:915-845-4019
Practice Address - Street 1:5407 N MESA ST
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-5420
Practice Address - Country:US
Practice Address - Phone:915-845-4013
Practice Address - Fax:915-845-4019
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD3186207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP000FP192Medicaid
TXC14604Medicare UPIN
TXOOFG19Medicare ID - Type Unspecified