Provider Demographics
NPI:1558391623
Name:COX, CHARLES SAMUEL JR (MD)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:SAMUEL
Last Name:COX
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:6431 FANNIN ST
Mailing Address - Street 2:MSB 5.236
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-1501
Mailing Address - Country:US
Mailing Address - Phone:713-500-7300
Mailing Address - Fax:713-500-7296
Practice Address - Street 1:6410 FANNIN ST
Practice Address - Street 2:SUITE 950
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-3000
Practice Address - Country:US
Practice Address - Phone:832-325-7234
Practice Address - Fax:713-512-2221
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-04
Last Update Date:2020-11-06
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Provider Licenses
StateLicense IDTaxonomies
TXH61362086S0102X, 2086S0120X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0120XAllopathic & Osteopathic PhysiciansSurgeryPediatric Surgery
No2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX136926607Medicaid
TX81Z197OtherBCBSTX
136926601OtherCSHCN
TX136926610Medicaid
TXTXB109168Medicare PIN
136926601OtherCSHCN
370011335Medicare PIN
81Z197Medicare PIN