Individual
VIVIANE BOUCHARA COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6137 KIRBY DR, HOUSTON, TX 77005-3148
(786) 636-9346
Mailing address
2536 AMHERST ST STE A, HOUSTON, TX 77005-3207
(713) 490-8880
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
34642
TX
Other
Enumeration date
02/26/2019
Last updated
10/01/2019
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