Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | Q8862 | TX |
NPI | 1003252651 |
---|---|
Provider Name | Sadie Cole |
First Address | Dallas, TX 75266-0599 |
Second Address | Rowlett, TX 75088-4552 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2013 |
Last Update Date | 21/04/2017 |