Provider Demographics
NPI:1871809178
Name:COX, STACI M (DVM)
Entity type:Individual
Prefix:DR
First Name:STACI
Middle Name:M
Last Name:COX
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12034 RESEARCH BLVD STE 8
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-2405
Mailing Address - Country:US
Mailing Address - Phone:512-331-6121
Mailing Address - Fax:
Practice Address - Street 1:12034 RESEARCH BLVD STE 8
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-2405
Practice Address - Country:US
Practice Address - Phone:512-331-6121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-24
Last Update Date:2016-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11147174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian