Cox, Dwayne Michael
Cox, Dwayne Michael is an sole proprietor health care provider with primary practice located at 1121 E Southeast Loop 323 Suite 105, Tyler TX 75701-9660. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Cox, Dwayne Michael can be contacted via phone (903) 509-4232.Contact Information
Primary practice address
1121 E Southeast Loop 323 Suite 105
Tyler TX 75701-9660
Phone: (903) 509-4232
Fax: (903) 509-9918
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 877 | Texas |
Profile Details
| NPI number | 1134295454 |
|---|---|
| LBN Legal business name | Cox, Dwayne Michael |
| Credentials | LCDC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 28th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134295454 | NPPES |
| Texas | Other | 877 | LCDC |
| Texas | Other | 7856 | LCDC |
Popular Providers
-
Hosch, Daniel Luther
2323 W Front St , Tyler TX 75702-7704 -
Deshong, Andre
3800 Paluxy Dr Ste 405 , Tyler TX 75703-1662 -
Clark, Gregory Scott
1121 E Southeast Loop 323 Ste 204 , Tyler TX 75701 -
Hernandez-Real, Cindy
104 Jordan Plaza Blvd Suite 402 & 403, Tyler TX 75704-2055 -
Pettit, Melinda Kay
104 Jordan Plaza Blvd Suite 402-403, Tyler TX 75704-2055 -
Johnson, Crystal Duane
401 E Front Street Suite 139, Tyler TX 75701-1608 -
Petitto, Anne B
1710 Holly Creek Dr , Tyler TX 75703-0907 -
Tucker, Gerald Lewis
402 Ulster Dr , Tyler TX 75703-5347