Provider Demographics
NPI:1790847309
Name:ERIC C. COX M.D., P.A.
Entity Type:Organization
Organization Name:ERIC C. COX M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:C
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:806-331-3290
Mailing Address - Street 1:1600 S COULTER ST
Mailing Address - Street 2:SUITE 701E
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79106-1710
Mailing Address - Country:US
Mailing Address - Phone:806-331-3290
Mailing Address - Fax:806-331-3294
Practice Address - Street 1:1600 S COULTER ST
Practice Address - Street 2:SUITE 701E
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-1710
Practice Address - Country:US
Practice Address - Phone:806-331-3290
Practice Address - Fax:806-331-3294
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-14
Last Update Date:2008-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK2883207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX78NCOtherBCBS
P00027752OtherMEDICARE RAILROAD
P00027752OtherMEDICARE RAILROAD
X86508Medicare UPIN