Provider Demographics
NPI:1972677805
Name:COX, PATRICIA (LCSW)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:COX
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5646 MILTON ST
Mailing Address - Street 2:SUITE 520
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-3933
Mailing Address - Country:US
Mailing Address - Phone:214-526-2000
Mailing Address - Fax:214-526-2007
Practice Address - Street 1:5646 MILTON ST
Practice Address - Street 2:SUITE 520
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75206-3933
Practice Address - Country:US
Practice Address - Phone:214-526-2000
Practice Address - Fax:214-526-2007
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-20
Last Update Date:2009-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX118841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00S80PMedicare ID - Type Unspecified