Individual
MRS. JACKIE DENISE COX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
19221 INTERSTATE 45 S, SUITE 430, CONROE, TX 77385-8756
(281) 419-1464
(281) 419-1312
Mailing address
12416 LYRA DR, WILLIS, TX 77318-5139
(936) 856-7616
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
150924
TX
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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