Provider Demographics
NPI:1558359976
Name:COX, TAMARA M (MD)
Entity Type:Individual
Prefix:DR
First Name:TAMARA
Middle Name:M
Last Name:COX
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:125 S PARK DR STE D
Mailing Address - Street 2:
Mailing Address - City:BROWNWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:76801-5952
Mailing Address - Country:US
Mailing Address - Phone:325-641-2500
Mailing Address - Fax:325-641-2505
Practice Address - Street 1:125 S PARK DR STE D
Practice Address - Street 2:
Practice Address - City:BROWNWOOD
Practice Address - State:TX
Practice Address - Zip Code:76801-5952
Practice Address - Country:US
Practice Address - Phone:325-641-2500
Practice Address - Fax:325-641-2505
Is Sole Proprietor?:No
Enumeration Date:2005-10-10
Last Update Date:2020-09-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXL3615207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX163013902Medicaid
TXH96152Medicare UPIN
TX8C7266Medicare PIN