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NPI Code Detail

MEDICARE: VONDA ADELE COX

MEDICARE:   VONDA ADELE 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
1363LF0000XFamily Nurse PractitionerAP132541TX

General Provider Information

NPI Number : 1538600044
Entity Type Code : Individual
Provider Name (Legal Business Name) : VONDA ADELE COX
Provider Business Mailing Address
First Line : 7008 INDIANA AVE STE A
Second Line :
City : LUBBOCK
State : TX
Zip : 79413-6138
Country : US
Telephone Number : 806-698-8088
Fax Number : 806-698-8588
Provider Business Practice Location Address
First Line : 7008 INDIANA AVE STE A
Second Line :
City : LUBBOCK
State : TX
Zip : 79413-6138
Country : US
Telephone Number : 806-698-8088
Fax Number : 806-698-8588
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2017
Last Update Date : 03/29/2017

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Directions to “ VONDA ADELE COX ” Practice Location

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