| T C Cole Jr Md Pa | |
|
1203 Avenue J Huntsville TX 77340-4628 | |
| (936) 295-3728 | |
| Not Available |
| Full Name | T C Cole Jr Md Pa |
|---|---|
| Speciality | General Practice |
| Location | 1203 Avenue J, Huntsville, Texas |
| Authorized Official Name and Position | Thomas Carroll Cole (PHYSICIAN) |
| Authorized Official Contact | 9362953728 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| T C Cole Jr Md Pa 1203 Avenue J Huntsville TX 77340-4628 Ph: (936) 295-3728 | T C Cole Jr Md Pa 1203 Avenue J Huntsville TX 77340-4628 Ph: (936) 295-3728 |
| NPI Number | 1790922870 |
|---|---|
| Provider Enumeration Date | 01/12/2009 |
| Last Update Date | 01/12/2009 |
| Medicare PECOS PAC ID | 0840357547 |
|---|---|
| Medicare Enrollment ID | O20090325000168 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790922870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | E3238 (Texas) | Primary |
| Provider Name | Thomas C Cole |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1265525851 PECOS PAC ID: 4486711181 Enrollment ID: I20090325000163 |
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