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Individual

JEFFREY R COHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
7200 WYOMING SPGS STE 1150, ROUND ROCK, TX 78681-4310
(512) 255-0125
(512) 255-0153
Mailing address
7200 WYOMING SPGS STE 1150, ROUND ROCK, TX 78681-4310
(512) 255-0125
(512) 255-0153

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1403
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036500901
TX
01
80751X
BCBS
TX
Enumeration date
04/07/2006
Last updated
09/04/2008
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