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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 5 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 1891784377 NPPES
Texas MEDICAID 137166812

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