Individual
DR. JACQUELINE ELLEN COHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1521 S STAPLES ST, SUITE 801, CORPUS CHRISTI, TX 78404-3150
(361) 888-5794
(361) 653-0608
Mailing address
PO BOX 3967, CORPUS CHRISTI, TX 78463-3967
(361) 888-5794
(361) 653-0608
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
E7862
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
089791001
—
TX
Enumeration date
12/30/2005
Last updated
11/23/2010
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