Individual
STEPHEN BROOKE COX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1585 3RD ST, FORT POLK, LA 71459-5102
(337) 531-3011
Mailing address
1585 3RD ST, FORT POLK, LA 71459-5102
(337) 531-3376
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
J5297
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0025RE
BCBSTX
TX
05
—
140267950
—
TX
Enumeration date
07/26/2006
Last updated
06/20/2023
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