Provider Demographics
NPI:1194786657
Name:COX, R H (MD)
Entity type:Individual
Prefix:
First Name:R
Middle Name:H
Last Name:COX
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3780
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79116-3780
Mailing Address - Country:US
Mailing Address - Phone:806-355-3352
Mailing Address - Fax:
Practice Address - Street 1:1901 MEDI PARK
Practice Address - Street 2:STE 2050
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-2110
Practice Address - Country:US
Practice Address - Phone:806-355-3352
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-31
Last Update Date:2008-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD59452085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100158030AMedicaid
110926100OtherFIRSTCARE
TX139038703Medicaid
NMY9656Medicaid
TXMDD5945OtherWORKERS COMPENSATION
TX82R437OtherBLUE CROSS
C14840Medicare UPIN
TX82R437Medicare ID - Type Unspecified
NMY9656Medicaid
TX139038703Medicaid
OK100158030AMedicaid