Organization
ANESTHESIA ASSOCIATES OF RUSTON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK L COX JR. MD (OWNER)
(318) 251-3620
Entity
Organization
Contact information
Practice address
925 NORTH TRENTON STREET, RUSTON, LA 71270
(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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1337048
—
LA
01
—
437946305D
BLUE CROSS
LA
Enumeration date
07/21/2006
Last updated
11/12/2007
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