Provider Demographics
NPI:1841581527
Name:COX, EFREM MICHAEL (MD)
Entity Type:Individual
Prefix:
First Name:EFREM
Middle Name:MICHAEL
Last Name:COX
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 95306
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89193-5306
Mailing Address - Country:US
Mailing Address - Phone:702-851-0792
Mailing Address - Fax:702-851-0797
Practice Address - Street 1:8530 W SUNSET RD STE 250
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89113-2245
Practice Address - Country:US
Practice Address - Phone:702-851-0792
Practice Address - Fax:702-851-0797
Is Sole Proprietor?:No
Enumeration Date:2011-04-28
Last Update Date:2020-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV19177207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1841581527Medicaid
NV19177OtherNSBME