Provider Demographics
NPI:1902234289
Name:COX, LAURA LYNN (FNP-C)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:LYNN
Last Name:COX
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 CLEAR LAKE RD
Mailing Address - Street 2:
Mailing Address - City:WEATHERFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76086-5802
Mailing Address - Country:US
Mailing Address - Phone:817-594-9993
Mailing Address - Fax:
Practice Address - Street 1:1200 CLEAR LAKE RD
Practice Address - Street 2:
Practice Address - City:WEATHERFORD
Practice Address - State:TX
Practice Address - Zip Code:76086-5802
Practice Address - Country:US
Practice Address - Phone:817-594-9993
Practice Address - Fax:817-594-9915
Is Sole Proprietor?:No
Enumeration Date:2013-10-23
Last Update Date:2020-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX712499363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX344319YZX7OtherPROVIDER TRANSACTION ACCESS NUMBER
TX344319ZGVVOtherPROVIDER TRANSACTION ACCESS NUMBER