Provider Demographics
NPI:1922071703
Name:COX, RALPH FREDERICK JR (MD)
Entity Type:Individual
Prefix:
First Name:RALPH
Middle Name:FREDERICK
Last Name:COX
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 N PEARL ST STE N510
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75201-2863
Mailing Address - Country:US
Mailing Address - Phone:214-999-9355
Mailing Address - Fax:214-999-9363
Practice Address - Street 1:700 N PEARL ST STE N208
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75201-7430
Practice Address - Country:US
Practice Address - Phone:214-999-9355
Practice Address - Fax:214-999-9363
Is Sole Proprietor?:No
Enumeration Date:2006-02-10
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG3253207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX162636804Medicaid
TXP00780943OtherRAILROAD MEDICARE
TX162636803Medicaid
TX162636805Medicaid
TXTXB144602OtherMEDICARE/TARRANT COUNTY
TX162636803Medicaid
TX162636804Medicaid
TX8L21570Medicare PIN
TXTXB144602OtherMEDICARE/TARRANT COUNTY