Individual
IDEN M COWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8015 SHOAL CREEK BLVD STE 103, AUSTIN, TX 78757-8051
(512) 467-7246
(512) 467-7247
Mailing address
7951 SHOAL CREEK BLVD STE 300, AUSTIN, TX 78757-7582
(512) 584-8404
(737) 377-0442
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
E7901
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S2007
MEDICAL LICENSE
TX
Enumeration date
04/20/2009
Last updated
11/26/2025
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