Healthcare Provider Details

I. General information

NPI: 1912415100
Provider Name (Legal Business Name): THE COX GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2018
Last Update Date: 11/02/2022
Certification Date: 11/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3111 N HOUSTON ST APT 512
DALLAS TX
75219-7855
US

IV. Provider business mailing address

3111 N HOUSTON ST APT 512
DALLAS TX
75219-7855
US

V. Phone/Fax

Practice location:
  • Phone: 214-613-6767
  • Fax:
Mailing address:
  • Phone: 214-613-6767
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1744P3200X
TaxonomyProsthetics Case Management
License Number
License Number State

VIII. Authorized Official

Name: VANNESSA COX
Title or Position: CEO
Credential:
Phone: 214-613-6767