Provider Demographics
NPI:1306958889
Name:COX, STEVEN EARL (DO)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:EARL
Last Name:COX
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:905 24TH AVE NW STE C
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069-6203
Mailing Address - Country:US
Mailing Address - Phone:405-292-3060
Mailing Address - Fax:405-292-5563
Practice Address - Street 1:905 24TH AVE NW STE C
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-6203
Practice Address - Country:US
Practice Address - Phone:405-292-3060
Practice Address - Fax:405-292-5563
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2011-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK23602084P0800X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKE-09614Medicare UPIN