Provider Demographics
NPI:1922045095
Name:COX, GARY F (MD)
Entity Type:Individual
Prefix:
First Name:GARY
Middle Name:F
Last Name:COX
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2705 HOSPITAL DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77901-5775
Mailing Address - Country:US
Mailing Address - Phone:361-579-4700
Mailing Address - Fax:361-574-1552
Practice Address - Street 1:2705 HOSPITAL DR
Practice Address - Street 2:SUITE 100
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77901-5775
Practice Address - Country:US
Practice Address - Phone:361-579-4700
Practice Address - Fax:361-574-1552
Is Sole Proprietor?:No
Enumeration Date:2006-05-31
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXE4273207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX034183601Medicaid
00JE89Medicare ID - Type Unspecified
TX034183601Medicaid