Healthcare Provider Details

I. General information

NPI: 1376503367
Provider Name (Legal Business Name): CHRIS PAUL COX PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2006
Last Update Date: 04/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

815 NW 12TH ST
OKLAHOMA CITY OK
73106-6802
US

IV. Provider business mailing address

PO BOX 268981 MCBRIDE CLINIC, INC.
OKLAHOMA CITY OK
73126-8981
US

V. Phone/Fax

Practice location:
  • Phone: 405-230-9575
  • Fax: 405-228-2569
Mailing address:
  • Phone: 405-230-9000
  • Fax: 405-230-9175

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number3694
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number3694
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: