Provider Demographics
NPI:1366188690
Name:DERRICK D COX MD PLLC
Entity type:Organization
Organization Name:DERRICK D COX MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DERRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:915-500-3462
Mailing Address - Street 1:1250 E CLIFF DR STE 3C
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-4847
Mailing Address - Country:US
Mailing Address - Phone:915-500-3462
Mailing Address - Fax:915-500-3463
Practice Address - Street 1:1250 E CLIFF DR STE 3C
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-4847
Practice Address - Country:US
Practice Address - Phone:915-500-3462
Practice Address - Fax:915-500-3463
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-10
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty