Individual
CAROLYN ELIZABETH COX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6720 BERTNER AVE, HOUSTON, TX 77030-2604
(713) 798-2799
Mailing address
6624 FANNIN ST, HOUSTON, TX 77030-2312
(713) 798-2799
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA07369
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287872004
—
TX
01
—
8711NM
BCBS
TX
Enumeration date
07/13/2011
Last updated
09/16/2024
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