Provider Demographics
NPI:1962404699
Name:COX, RONALD LEE (MD)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:LEE
Last Name:COX
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78664-5246
Mailing Address - Country:US
Mailing Address - Phone:512-732-2774
Mailing Address - Fax:
Practice Address - Street 1:6611 RIVER PLACE BLVD STE 100
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78730-1163
Practice Address - Country:US
Practice Address - Phone:512-732-2774
Practice Address - Fax:512-331-5192
Is Sole Proprietor?:No
Enumeration Date:2005-08-12
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-06-9141-C207K00000X
TXN3582207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2103324Medicaid
OH2103324Medicaid
OH2103324Medicaid
OHBC9156173OtherDEA