Provider Demographics
NPI:1992023311
Name:COX, SAMANTHA (BS BHRS/BHCM)
Entity Type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:
Last Name:COX
Suffix:
Gender:F
Credentials:BS BHRS/BHCM
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 332
Mailing Address - Street 2:
Mailing Address - City:WATTS
Mailing Address - State:OK
Mailing Address - Zip Code:74964-0332
Mailing Address - Country:US
Mailing Address - Phone:918-422-4888
Mailing Address - Fax:
Practice Address - Street 1:202 S MAIN ST.
Practice Address - Street 2:
Practice Address - City:WATTS
Practice Address - State:OK
Practice Address - Zip Code:74964-0332
Practice Address - Country:US
Practice Address - Phone:918-422-4888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-10
Last Update Date:2012-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator