Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | S7627 | TX |
N | 207QS0010X | Family Doctor - Sports Medicine | S7627 | TX |
NPI | 1114372810 |
---|---|
Provider Name | Dr. Chelsea Cole |
First Address | Dallas, TX 75390-7201 |
Second Address | Dallas, TX 75390-7201 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/04/2016 |
Last Update Date | 10/09/2020 |