Provider Demographics
NPI:1427073139
Name:COX, WILLIAM V (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:V
Last Name:COX
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5 CALLE MEDICO
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87505-4724
Mailing Address - Country:US
Mailing Address - Phone:505-982-4555
Mailing Address - Fax:505-982-9225
Practice Address - Street 1:5 CALLE MEDICO
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-4724
Practice Address - Country:US
Practice Address - Phone:505-982-4555
Practice Address - Fax:505-982-9225
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-13
Last Update Date:2008-09-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NMNM90171207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM$$$$$$$$$Medicare PIN
B97451Medicare UPIN