Individual
SHEILA M COOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6410 FANNIN ST, 450, HOUSTON, TX 77030-3000
(713) 500-5304
(713) 500-0647
Mailing address
PO BOX 201088, HOUSTON, TX 77216-1088
(713) 500-3500
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
J3300
TX
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
J3300
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8F6684
BCBSTX
TX
Enumeration date
09/28/2006
Last updated
12/14/2007
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