Provider Demographics
NPI:1255461562
Name:COX, TRENT ALLAN (MS, ATC, LAT)
Entity type:Individual
Prefix:MR
First Name:TRENT
Middle Name:ALLAN
Last Name:COX
Suffix:
Gender:M
Credentials:MS, ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 COPPER FALLS DR
Mailing Address - Street 2:
Mailing Address - City:BRYAN
Mailing Address - State:TX
Mailing Address - Zip Code:77803-3553
Mailing Address - Country:US
Mailing Address - Phone:979-587-2281
Mailing Address - Fax:
Practice Address - Street 1:3310 OAK RIDGE DR
Practice Address - Street 2:
Practice Address - City:BRYAN
Practice Address - State:TX
Practice Address - Zip Code:77802-3418
Practice Address - Country:US
Practice Address - Phone:979-209-7980
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2015-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAT36202255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer