Provider Demographics
NPI:1184754038
Name:SOUTH OAKS FAMILY MEDICINE, P.A.
Entity type:Organization
Organization Name:SOUTH OAKS FAMILY MEDICINE, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GEOFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-416-0044
Mailing Address - Street 1:8517 FM 1826 BLDG 2
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78737-1473
Mailing Address - Country:US
Mailing Address - Phone:512-416-0044
Mailing Address - Fax:512-462-9765
Practice Address - Street 1:8517 FM 1826 BLDG 2
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78737-1473
Practice Address - Country:US
Practice Address - Phone:512-416-0044
Practice Address - Fax:512-462-9765
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2019-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CH9300Medicare PIN
00238RMedicare UPIN
TX00238RMedicare ID - Type UnspecifiedMEDICARE GROUP NUMBER