I had to use a router, it's the same thing as a wan to lan setup, the address they gave me for a gateway is a 255.255.255.252 subnet. The 5060 sip is fine, it's when it hands off to there media server is where it gets lost in translation so to speak. I'm going to put in a smart switch and port mirror the wan and do a capture there to see what is missing. It's a small Clec, and I'm playing the guessing game as they are not giving any info that is helpful. Lol, they sent me a wire capture to look at to determine rtp ports and the only ports on the capture was 5060.
To make things worse, that 10. address they gave me has no internet on it, so if I tried to eliminate router I couldn't have remote or cell apps and the 3cx couldn't have updates or anything.