Provider Demographics
NPI:1407010952
Name:COX, MARGARET V (MD)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:V
Last Name:COX
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:V
Other - Last Name:MANKIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4107 MASSARD RD
Mailing Address - Street 2:
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72903-6223
Mailing Address - Country:US
Mailing Address - Phone:479-314-4940
Mailing Address - Fax:479-478-7291
Practice Address - Street 1:4107 MASSARD RD
Practice Address - Street 2:
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72903-6223
Practice Address - Country:US
Practice Address - Phone:479-314-4940
Practice Address - Fax:479-478-7291
Is Sole Proprietor?:No
Enumeration Date:2008-07-14
Last Update Date:2014-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE6114207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200250050AMedicaid
AR178411001Medicaid
OK200250050AMedicaid