Doctor Name: | SETH RYAN COHEN |
NPI Number: | 1639279136 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 0102201923 |
Business Practice Address: | 6606 Lbj Fwy Suite 200 Dallas, TX - 752406533 |
Business Phone Number: | 9727155000 |
Business Fax Number: | 9727159976 |
Mailing Address: | Po Box 650865, DALLAS |
State: | TX |
Postal Code: | 752650865 |
Phone Number: | 9727151999 |
Fax Number: | 9722333666 |
NPI Enumeration Date: | 09/24/2006 |
NPI Last Update Date: | 10/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 0102201923 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |