Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | H8701 | TX |
N | 207RA0201X | Internist - Allergy & Immunology | H8701 | TX |
NPI | 1285688168 |
---|---|
Provider Name | Dr. Mika Kamada Cole |
First Address | San Antonio, TX 78209-2628 |
Second Address | San Antonio, TX 78209-5713 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2006 |
Last Update Date | 13/05/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
115622604 | (05) | TX |
B76739 | (02) | TX |