Individual
MITCHELL WAYNE COX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1005 HARBORSIDE DRIVE, 5TH FLOOR, GALVESTON, TX 77555
(409) 772-6787
Mailing address
PO BOX 650859, DEPT 710, DALLAS, TX 75265-0859
(409) 266-5992
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
D0061353
MD
208600000X
Surgery Physician
2008-00651
NC
2086S0129X
Vascular Surgery Physician
2008-00651
NC
2086S0129X
Vascular Surgery Physician
Primary
L6849
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
415096100
—
MD
Enumeration date
11/06/2006
Last updated
09/08/2022
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