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Dr. Evan L Cohn
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NPI Number Detailed Information
Provider Information:
| Name: | Dr. Evan L Cohn |
| Gender: | M |
| Provider License Number If Given: | K5084 |
NPI Information:
| NPI: | 1104825488 |
| Entity Type (Individual or Organization): |
1-ind |
| Enumeration Date: | 7/19/2005 |
| Last Update Date: | 11/19/2014 |
Provider Business Mailing Address:
| Address: | 816 W CANNON ST Fort Worth, TX 76104 |
| Phone Number: | 2143638378 |
| Fax Number: | 2143630720 |
Provider Business Practice Location Address:
| Address: | 815 PENNSYLVANIA AVE SUITE 710 Fort Worth, TX 76104 |
| Phone Number: | 8173210387 |
| Fax Number: | 2143630720 |
Provider Taxonomy:
| Primary: | 2085R0202X |
| Secondary (if any): | |
| State: | TX |
