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NPI Code Detail

MEDICARE: CODY ALLEN COX M.D.

MEDICARE: CODY ALLEN COX M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology PhysicianK0696TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
5300109573OTHERTXRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2110909100OTHERTXFIRSTCARE
387475YOTHERTXBLUECROSS
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1538163175
Entity Type Code : Individual
Provider Name (Legal Business Name) : CODY ALLEN COX M.D.
Provider Business Mailing Address
First Line : 4702 111TH ST
Second Line :
City : LUBBOCK
State : TX
Zip : 79424-7359
Country : US
Telephone Number : 806-438-7058
Fax Number : 806-740-3325
Provider Business Practice Location Address
First Line : 4515 MARSHA SHARP FWY
Second Line :
City : LUBBOCK
State : TX
Zip : 79407-2520
Country : US
Telephone Number : 806-744-7223
Fax Number : 806-740-3325
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2005
Last Update Date : 01/04/2024

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Directions to “ CODY ALLEN COX M.D.” Practice Location

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