Organization Name: | CHARLES L COX PHD PA |
NPI Number: | 1023237856 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHARLES LEONARD COX (PRESIDENT) |
Mailing Address: | 50 Sugar Creek Center Blvd Ste 250 Sugar Land |
State: | TX US |
Postal Code: | 774783662 |
Phone Number: | 2812654566 |
Fax Number: | 2812655127 |
NPI Enumeration Date: | 04/24/2007 |
NPI Last Update Date: | 02/10/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 21710 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |