Provider Demographics
NPI:1659520195
Name:COX OCCUPATIONAL THERAPY PC
Entity Type:Organization
Organization Name:COX OCCUPATIONAL THERAPY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:JACOB
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:713-349-9886
Mailing Address - Street 1:1114 HOWARD LN
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-2704
Mailing Address - Country:US
Mailing Address - Phone:713-349-9886
Mailing Address - Fax:
Practice Address - Street 1:1114 HOWARD LN
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-2704
Practice Address - Country:US
Practice Address - Phone:713-349-9886
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-09
Last Update Date:2008-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX100565225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1366635179OtherNPI