Provider Demographics
NPI:1376263236
Name:COX, KAMBEL B
Entity Type:Individual
Prefix:
First Name:KAMBEL
Middle Name:B
Last Name:COX
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9775 OLD FIELD DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75072-2817
Mailing Address - Country:US
Mailing Address - Phone:469-850-0120
Mailing Address - Fax:214-377-6243
Practice Address - Street 1:6200 PRESTON RD STE 100
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-2616
Practice Address - Country:US
Practice Address - Phone:469-377-6243
Practice Address - Fax:214-377-6243
Is Sole Proprietor?:No
Enumeration Date:2022-08-31
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1331209225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist