MEDICARE: MRS. AMANDA DALE COX FNP-C

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	637313	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942297684
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AMANDA DALE COX FNP-C

Provider Business Mailing Address
First Line	:	710 W. MAIN STREET
Second Line	:
City	:	CROSBYTON
State	:	TX
Zip	:	79322
Country	:	US
Telephone Number	:	806-272-4524
Fax Number	:	806-272-4749

Provider Business Practice Location Address
First Line	:	1021 E 10TH ST
Second Line	:
City	:	DALHART
State	:	TX
Zip	:	79022-4005
Country	:	US
Telephone Number	:	806-244-0003
Fax Number	:	806-288-6041

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

Provider Enumeration Date	:	09/27/2005
Last Update Date	:	01/09/2025

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