Cowan, Michael R
Cowan, Michael R is an individual health care provider with primary practice located at 4200 South Fwy Ste 100 , Fort Worth TX 76115-1407. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Cowan, Michael R can be contacted via phone (817) 750-7334.Contact Information
Primary practice address
4200 South Fwy Ste 100
Fort Worth TX 76115-1407
Phone: (817) 750-7334
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | H9459 | Texas |
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 207PP0204X | H9459 | Texas |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | H9459 | Texas |
Profile Details
| NPI number | 1891784377 |
|---|---|
| LBN Legal business name | Cowan, Michael R |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 18th, 2005 |
| Last updated | Aug 25th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891784377 | NPPES |
| Texas | MEDICAID | 137166812 |
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