Healthcare Provider Details

I. General information

NPI: 1619937372
Provider Name (Legal Business Name): DAVID A COX PA-C, MPAS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2006
Last Update Date: 08/18/2021
Certification Date: 08/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3551 ROGER BROOKE DR
FORT SAM HOUSTON TX
78234-4504
US

IV. Provider business mailing address

3100 SCHOFIELD RD
FORT SAM HOUSTON TX
78234-7577
US

V. Phone/Fax

Practice location:
  • Phone: 210-808-2425
  • Fax: 210-916-2750
Mailing address:
  • Phone: 210-808-2395
  • Fax: 210-539-2075

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA11847
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: