Provider Demographics
NPI:1801073838
Name:COX, DERRICK DIONE (MD)
Entity type:Individual
Prefix:
First Name:DERRICK
Middle Name:DIONE
Last Name:COX
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1250 E CLIFF DR
Mailing Address - Street 2:SUITE 2A
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-4850
Mailing Address - Country:US
Mailing Address - Phone:915-577-7951
Mailing Address - Fax:915-577-7951
Practice Address - Street 1:1250 E CLIFF DR
Practice Address - Street 2:SUITE 2A
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-4850
Practice Address - Country:US
Practice Address - Phone:915-577-7951
Practice Address - Fax:915-577-7951
Is Sole Proprietor?:No
Enumeration Date:2008-01-22
Last Update Date:2014-01-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME1108242086X0206X, 208600000X
TXP72622086X0206X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
No208600000XAllopathic & Osteopathic PhysiciansSurgery