Cowan, Gary Milton

Cowan, Gary Milton is an individual health care provider with primary practice located at 909 9Th Avenue #404, Fort Worth TX 76104-3918. He recently has only one registered license in Allopathic & Osteopathic Physicians / Retina Specialist, which is considered as his primary health care specialty. Cowan, Gary Milton can be contacted via phone (817) 332-1782.

Contact Information

Primary practice address
909 9Th Avenue #404 Fort Worth TX 76104-3918
Fax: (817) 336-8619
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X F6544 Texas

Profile Details

NPI number 1154312007
LBN Legal business name Cowan, Gary Milton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Apr 7th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154312007 NPPES
Other 180039400 RAILROAD MEDICARE
Other 4112021 RAILROAD MEDICARE
Other 751869812 RAILROAD MEDICARE
MEDICAID 137504002 RAILROAD MEDICARE

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