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NPI Code Detail

MEDICARE: KATELYN COX LM

MEDICARE:   KATELYN  COX  LM
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
1176B00000XMidwife99575TX

General Provider Information

NPI Number : 1578380614
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATELYN COX LM
Provider Business Mailing Address
First Line : 4743 JOHNSON CREEK LOOP
Second Line :
City : COLLEGE STATION
State : TX
Zip : 77845-3890
Country : US
Telephone Number : 979-349-9565
Fax Number :
Provider Business Practice Location Address
First Line : 4743 JOHNSON CREEK LOOP
Second Line :
City : COLLEGE STATION
State : TX
Zip : 77845-3890
Country : US
Telephone Number : 979-349-9565
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2024
Last Update Date : 09/20/2024

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Directions to “ KATELYN COX LM” Practice Location

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