MEDICARE: BRIAN COX O.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	152W00000X	Optometrist	7621TG	TX

General Provider Information

NPI Number	:	1992017503
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIAN COX O.D.

Provider Business Mailing Address
First Line	:	3440 RILEY FUZZELL RD STE 170
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77386-4189
Country	:	US
Telephone Number	:	281-419-2600
Fax Number	:

Provider Business Practice Location Address
First Line	:	3440 RILEY FUZZELL RD STE 170
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77386-4189
Country	:	US
Telephone Number	:	281-419-2600
Fax Number	:

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

Provider Enumeration Date	:	07/12/2010
Last Update Date	:	08/21/2012

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Directions to “ BRIAN COX O.D.” Practice Location

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