Provider Demographics
NPI:1811956899
Name:COX, CLIFTON L II (MD)
Entity type:Individual
Prefix:DR
First Name:CLIFTON
Middle Name:L
Last Name:COX
Suffix:II
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 35629
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75235-0629
Mailing Address - Country:US
Mailing Address - Phone:214-424-2213
Mailing Address - Fax:214-231-2159
Practice Address - Street 1:505 S NOLEN DR STE B
Practice Address - Street 2:
Practice Address - City:SOUTHLAKE
Practice Address - State:TX
Practice Address - Zip Code:76092-9167
Practice Address - Country:US
Practice Address - Phone:817-410-7777
Practice Address - Fax:817-410-9906
Is Sole Proprietor?:No
Enumeration Date:2006-03-20
Last Update Date:2021-07-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXJ0814208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8F0497Medicare PIN
TXF90870Medicare UPIN