Provider Demographics
NPI:1376987362
Name:COX, WINSLETT M (MD)
Entity Type:Individual
Prefix:DR
First Name:WINSLETT
Middle Name:M
Last Name:COX
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 650859 DEPT 710
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75265-1005
Mailing Address - Country:US
Mailing Address - Phone:409-772-2222
Mailing Address - Fax:409-747-1023
Practice Address - Street 1:1215 LEE ST FL 1
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22908
Practice Address - Country:US
Practice Address - Phone:434-924-9400
Practice Address - Fax:434-243-6999
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-22
Last Update Date:2021-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP100473202085R0202X
TXR95952085R0202X
VA01012637532085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX574834OtherPHYSICIAN IN TRAINING BASIC POSTGRADUATE TRAINING PERMIT
VA1376987362Medicaid