Provider Demographics
NPI:1962516112
Name:COHEN, HOWARD M (MD)
Entity type:Individual
Prefix:
First Name:HOWARD
Middle Name:M
Last Name:COHEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4004 WORTH ST
Mailing Address - Street 2:#300
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75246-1607
Mailing Address - Country:US
Mailing Address - Phone:214-826-8000
Mailing Address - Fax:214-826-8001
Practice Address - Street 1:4004 WORTH ST
Practice Address - Street 2:SUITE 300
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-1607
Practice Address - Country:US
Practice Address - Phone:214-826-8000
Practice Address - Fax:214-826-8001
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-17
Last Update Date:2015-09-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXH02562084P2900X, 2084P0805X, 2084P0802X, 2084P0015X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P2900XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPain Medicine
No2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry
No2084P0802XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Psychiatry
No2084P0015XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychosomatic Medicine
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXD48131Medicare UPIN
TXD48131Medicare UPIN