Healthcare Provider Details
I. General information
NPI: 1386636330
Provider Name (Legal Business Name): JAMES GREGORY COX MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X
II. Dates (important events)
Enumeration Date: 08/16/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4140 W MEMORIAL RD #408
OKLAHOMA CITY OK
73120-8300
US
IV. Provider business mailing address
4140 W MEMORIAL RD #408
OKLAHOMA CITY OK
73120-8300
US
V. Phone/Fax
- Phone: 405-749-4240
- Fax: 405-749-4241
- Phone: 405-292-5500
- Fax: 405-292-5505
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | 13087 |
| License Number State | OK |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: