Individual
DR. EVAN L COHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
815 PENNSYLVANIA AVE, SUITE 710, FORT WORTH, TX 76104-2224
(817) 321-0387
(214) 363-0720
Mailing address
816 W CANNON ST, FORT WORTH, TX 76104-3146
(214) 363-8378
(214) 363-0720
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
K5084
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102972002
—
TX
05
—
102972003
—
TX
Enumeration date
07/19/2005
Last updated
11/19/2014
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