Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | Q7854 | TX |
NPI | 1467868547 |
---|---|
Provider Name | Gregory James Cox |
First Address | Southlake, TX 76092-7846 |
Second Address | Southlake, TX 76092-7846 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2014 |
Last Update Date | 17/03/2018 |