Provider Demographics
NPI:1336122894
Name:COX, HOWARD WILLIAM (PA-C)
Entity Type:Individual
Prefix:MR
First Name:HOWARD
Middle Name:WILLIAM
Last Name:COX
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 BLANCA AVE
Mailing Address - Street 2:
Mailing Address - City:ALAMOSA
Mailing Address - State:CO
Mailing Address - Zip Code:81101-2340
Mailing Address - Country:US
Mailing Address - Phone:719-589-8073
Mailing Address - Fax:719-589-8087
Practice Address - Street 1:106 BLANCA AVE
Practice Address - Street 2:
Practice Address - City:ALAMOSA
Practice Address - State:CO
Practice Address - Zip Code:81101-2340
Practice Address - Country:US
Practice Address - Phone:719-589-8073
Practice Address - Fax:719-589-8087
Is Sole Proprietor?:No
Enumeration Date:2005-11-29
Last Update Date:2013-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO250363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
COP00313854OtherMEDICARE RAILROAD CARRIER
CO05053544Medicaid
CO840255530049OtherROCKY MTN HEALTH PLANS
COQ59905Medicare UPIN
COC804304Medicare PIN