Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | AP135809 | TX |
NPI | 1144733262 |
---|---|
Provider Name | Kira Cox |
First Address | Lubbock, TX 79424-4574 |
Second Address | Lubbock, TX 79410-1119 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/11/2017 |
Last Update Date | 10/11/2017 |