Provider Demographics
NPI:1659623171
Name:COX, JADE (DC)
Entity Type:Individual
Prefix:DR
First Name:JADE
Middle Name:
Last Name:COX
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10718 PINE MEADOWS BLVD
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77523-7655
Mailing Address - Country:US
Mailing Address - Phone:281-755-7633
Mailing Address - Fax:
Practice Address - Street 1:3033 MARINA BAY DR
Practice Address - Street 2:STE. 200
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-3984
Practice Address - Country:US
Practice Address - Phone:281-334-9300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-08
Last Update Date:2012-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12161111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor