Individual
MARVIN S COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1804 FM 646 W, STE N, LEAGUE CITY, TX 77573
(409) 772-2222
Mailing address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-5302
(409) 772-2222
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
H5509
TX
207Y00000X
Otolaryngology Physician
Primary
H5509
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135610701
—
TX
Enumeration date
12/13/2006
Last updated
05/21/2009
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