Individual
DR. JACK L COX JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
925 N TRENTON ST, RUSTON, LA 71270-3327
(318) 251-3620
(318) 255-6604
Mailing address
PO BOX 2048, RUSTON, LA 71273-2048
(318) 251-3620
(318) 255-6604
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
016321
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1337048
—
LA
Enumeration date
06/23/2006
Last updated
11/12/2007
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