Provider Demographics
NPI:1396983219
Name:COX, MICHAEL W (DC)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:W
Last Name:COX
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1227 N SANTA FE AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:MOORE
Mailing Address - State:OK
Mailing Address - Zip Code:73160-1850
Mailing Address - Country:US
Mailing Address - Phone:405-799-4436
Mailing Address - Fax:405-793-1546
Practice Address - Street 1:1227 N SANTA FE AVE
Practice Address - Street 2:SUITE B
Practice Address - City:MOORE
Practice Address - State:OK
Practice Address - Zip Code:73160-1850
Practice Address - Country:US
Practice Address - Phone:405-799-4436
Practice Address - Fax:405-793-1546
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-30
Last Update Date:2009-01-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK3887111NI0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NI0900XChiropractic ProvidersChiropractorInternist