Individual
DR. IRVING MATTHEW COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
18739 DOUBLE FORK RD, SAN ANTONIO, TX 78258
(210) 268-4514
Mailing address
18739 DOUBLE FORK RD, SAN ANTONIO, TX 78258
(210) 268-4514
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
20A3733
CA
208M00000X
Hospitalist Physician
Primary
3733
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX37330
—
CA
Enumeration date
12/19/2006
Last updated
02/01/2013
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