Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | L4312 | TX |
N | 207RA0201X | Internist - Allergy & Immunology | OS 9346 | FL |
NPI | 1457480055 |
---|---|
Provider Name | Dr. Steven Larry Cole |
First Address | Dallas, TX 75231-5927 |
Second Address | Dallas, TX 75231-5927 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/03/2007 |
Last Update Date | 20/04/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
159026701 | (05) | TX |
H87878 | (02) | TX |