Individual
DR. MELISSA G COSSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4900 MUELLER BLVD, AUSTIN, TX 78723-3079
(512) 324-0165
Mailing address
4900 MUELLER BLVD, AUSTIN, TX 78723-3079
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
N4550
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
214306705
—
TX
05
—
214306706
—
TX
05
—
214306707
—
TX
05
—
214306708
—
TX
01
—
8DB477
BCBS
TX
Enumeration date
07/17/2007
Last updated
12/14/2012
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