Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | K0687 | TX |
NPI | 1033108931 |
---|---|
Provider Name | James D Cole |
First Address | El Paso, TX 79936-5922 |
Second Address | El Paso, TX 79936-5922 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/10/2005 |
Last Update Date | 18/09/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G49796 | (02) | |
K0687 | TEXAS MEDICAL LICENSE (01) | TX |