Individual
BRANDI LYNN COX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3802 MANHATTON DR, TYLER, TX 75701-9451
(903) 509-8888
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 509-8888
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
629397
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
288776204
—
TX
01
—
75-0818167-022
TRICARE
TX
01
—
75-2616977-007
TRICARE
TX
01
—
75-2616977-028
TRICARE
TX
01
—
75-2771569-005
TRICARE
TX
01
—
752616977020
TRICARE
TX
01
—
8180NV
BCBS
TX
01
—
867N69
BCBS
TX
01
—
895N70
BCBS
TX
01
—
P01154590
RAIL ROAD
TX
01
—
P01635816
RAIL ROAD MEDICARE
TX
Enumeration date
11/03/2011
Last updated
09/25/2017
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