Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | 7396 | TX |
NPI | 1114967833 |
---|---|
Provider Name | Dr. Mike B Cox |
First Address | North Richland Hills, TX 76180-0902 |
Second Address | North Richland Hills, TX 76180-0902 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2006 |
Last Update Date | 23/09/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7396 | TEXAS LICENSE #-TAX EXEMPT NUMBER (01) | TX |
75-2753427 | TAX ID # (01) | TX |
U74860 | (02) | TX |