Provider Demographics
NPI:1457440836
Name:COX, MICHAEL EARL (PT)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:EARL
Last Name:COX
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4951 LONG PRAIRIE RD STE 110
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-2709
Mailing Address - Country:US
Mailing Address - Phone:972-410-5777
Mailing Address - Fax:972-410-5778
Practice Address - Street 1:4951 LONG PRAIRIE RD STE 110
Practice Address - Street 2:
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-2709
Practice Address - Country:US
Practice Address - Phone:972-410-5777
Practice Address - Fax:972-410-5778
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2022-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1130458225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8A3789OtherMEDICARE PART B - PRIOR TO 2/1/11
TX8T0638OtherBCBS
TX0052WCOtherBCBS
TX854T65OtherBC/BS TX - EFFECT 02/01/2011
TXP00935325OtherRAILROAD MEDICARE
TXTXB121215OtherMEDICARE PART B - EFFECT. 3/3/11