Individual
DIANA COXSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
580 S DENTON TAP RD, #123, COPPELL, TX 75019-4098
(972) 462-0762
(972) 393-2133
Mailing address
2757 RIDGECREST DR, SOUTHLAKE, TX 76092-2610
(817) 329-0492
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J1951
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105309203
—
TX
05
—
105309204
—
TX
Enumeration date
11/04/2005
Last updated
03/02/2022
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