Provider Demographics
NPI:1558568642
Name:COX, JIM LH (PHD)
Entity Type:Individual
Prefix:DR
First Name:JIM
Middle Name:LH
Last Name:COX
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14466 MARIN HOLLOW DR.
Mailing Address - Street 2:
Mailing Address - City:HELOTES
Mailing Address - State:TX
Mailing Address - Zip Code:78023-3951
Mailing Address - Country:US
Mailing Address - Phone:210-695-9906
Mailing Address - Fax:210-695-9906
Practice Address - Street 1:14466 MARIN HOLLOW DR.
Practice Address - Street 2:
Practice Address - City:HELOTES
Practice Address - State:TX
Practice Address - Zip Code:78023-3951
Practice Address - Country:US
Practice Address - Phone:210-695-9906
Practice Address - Fax:210-695-9906
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2-2299103TF0200X
HI981103TF0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic