Provider Demographics
NPI:1558548396
Name:JOSEPH I COHEN MD PA DBA CEDAR PARK PEDIATRICS
Entity type:Organization
Organization Name:JOSEPH I COHEN MD PA DBA CEDAR PARK PEDIATRICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:I
Authorized Official - Last Name:COHEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-335-9600
Mailing Address - Street 1:12171 W PARMER LANE
Mailing Address - Street 2:STE 201
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-7376
Mailing Address - Country:US
Mailing Address - Phone:512-335-9600
Mailing Address - Fax:512-335-9696
Practice Address - Street 1:12171 W PARMER LANE
Practice Address - Street 2:STE 201
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-7376
Practice Address - Country:US
Practice Address - Phone:512-335-9600
Practice Address - Fax:512-335-9696
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-23
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL7337208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty