Dwayne Michael Cox in Tyler - Addiction (substance Use Disorder)
Dwayne Michael Cox - NPI 1134295454
Dwayne Michael Cox is a Addiction (substance Use Disorder) in Tyler, Texas. Dwayne Michael Cox practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Dwayne Michael Cox is 1134295454. The last update date is 2007-07-08.
Dwayne Michael Cox's current location address is 1121 E Southeast Loop 323, Tyler, Texas. You can contact this provider via phone number 9035094232 and fax number 9035099918. The mailing address for Dwayne Michael Cox is 1121 E Southeast Loop 323, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dwayne Michael Cox |
|---|---|
| Address | 1121 E Southeast Loop 323, Tyler, Texas |
| Phone Number | 9035094232 |
| Fax Number | 9035099918 |
| Sole Proprietor | Y |
| Credentials | LCDC |
NPI Number Detail
| NPI Number | 1134295454 |
|---|---|
| Provider Enumeration Date | 2006-11-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1121 E Southeast Loop 323 |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 757019660 |
| Phone Number | 9035094232 |
| Fax Number | 9035099918 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 877 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 877 | TX | LCDC | |
| 7856 | TX | INTERNATIONAL CERTIFICATE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Dwayne Michael Cox by the Centers for Medicare & Medicaid Services?
The Dwayne Michael Cox has been issued the NPI (National Provider Identifier) 1134295454, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Dwayne Michael Cox is located?
The Dwayne Michael Cox is situated at the following address: 1121 E Southeast Loop 323, Tyler, TX, 757019660.
What is Dwayne Michael Cox's specialized field of practice, and what is the corresponding taxonomy classification code?
The Dwayne Michael Cox's area of specialization is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this field of practice is 101Ya0400X.
When was the Dwayne Michael Cox's 1134295454 issued?
The Dwayne Michael Cox's 1134295454 was issued on 2006-11-28.
When was the information pertaining to Dwayne Michael Cox most recently updated or revised?
The details related to Dwayne Michael Cox, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.