Provider Demographics
NPI:1730271495
Name:COHEN, DAVID KRISS (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:KRISS
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 1:3301 PLAINVIEW ST
Mailing Address - Street 2:6
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77504
Mailing Address - Country:US
Mailing Address - Phone:713-943-2036
Mailing Address - Fax:713-943-8095
Practice Address - Street 1:3301 PLAINVIEW ST
Practice Address - Street 2:#D6
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77504
Practice Address - Country:US
Practice Address - Phone:713-943-2036
Practice Address - Fax:713-943-8095
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2011-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH2309207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX115987301Medicaid
00T26BMedicare ID - Type Unspecified
E93571Medicare UPIN