Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | G3255 | TX |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | G3255 | TX |
NPI | 1336152818 |
---|---|
Provider Name | Susan Cox |
First Address | Dallas, TX 75390-7201 |
Second Address | Dallas, TX 75390-7201 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2006 |
Last Update Date | 16/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C14842 | (02) |