MEDICARE: DR. MARY ANN COX OD

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
1	152W00000X	Optometrist	3771	TX

General Provider Information

NPI Number	:	1720291834
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARY ANN COX OD

Provider Business Mailing Address
First Line	:	7063 HWY 6 N
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77095-2505
Country	:	US
Telephone Number	:	281-859-8000
Fax Number	:	281-859-4507

Provider Business Practice Location Address
First Line	:	7063 HWY 6 N
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77095-2505
Country	:	US
Telephone Number	:	281-859-8000
Fax Number	:	281-859-4507

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/07/2007
Last Update Date	:	07/08/2007

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