Provider Demographics
NPI:1538150354
Name:COWSAR, JOHN DAVID JR (DO)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:DAVID
Last Name:COWSAR
Suffix:JR
Gender:M
Credentials:DO
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Mailing Address - Street 1:21130 FOREST WATERS CIR
Mailing Address - Street 2:
Mailing Address - City:GARDEN RIDGE
Mailing Address - State:TX
Mailing Address - Zip Code:78266-2777
Mailing Address - Country:US
Mailing Address - Phone:210-295-4908
Mailing Address - Fax:210-295-4215
Practice Address - Street 1:FAMILY MEDICINE CLINIC MCWETHY
Practice Address - Street 2:2991 GARDEN AVENUE. BLDG 1279
Practice Address - City:FT. SAM HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:78234-6250
Practice Address - Country:US
Practice Address - Phone:210-295-4908
Practice Address - Fax:210-295-4215
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-01
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
TXF3867207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine