MEDICARE: ASHLEY COX

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	363LF0000X	Family Nurse Practitioner	1028925	TX

General Provider Information

NPI Number	:	1023648037
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY COX

Provider Business Mailing Address
First Line	:	309 PRINCE OF WALES ST
Second Line	:
City	:	CONROE
State	:	TX
Zip	:	77304-2719
Country	:	US
Telephone Number	:	936-788-4428
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 RIVERWOOD CT STE 105
Second Line	:
City	:	CONROE
State	:	TX
Zip	:	77304-2824
Country	:	US
Telephone Number	:	936-760-4454
Fax Number	:	936-760-4415

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

Provider Enumeration Date	:	01/17/2020
Last Update Date	:	07/30/2021

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Directions to “ ASHLEY COX ” Practice Location

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