MEDICARE: DR. DAVID COX NEEDHAM M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	G3638	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063416774
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID COX NEEDHAM M.D.

Provider Business Mailing Address
First Line	:	4515 SETON CENTER PKWY STE 215
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78759-5785
Country	:	US
Telephone Number	:
Fax Number	:	512-406-6216

Provider Business Practice Location Address
First Line	:	4100 EVERETT DR STE 400
Second Line	:
City	:	KYLE
State	:	TX
Zip	:	78640
Country	:	US
Telephone Number	:	512-295-1333
Fax Number	:	512-406-6256

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	08/31/2018

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Directions to “ DR. DAVID COX NEEDHAM M.D.” Practice Location

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