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NPI Code Detail

MEDICARE: COLE PEDIATRIC THERAPY

MEDICARE: COLE PEDIATRIC THERAPY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR0401XComprehensive Outpatient Rehabilitation Facility (CORF)105113TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427466986
Entity Type Code : Organization
Provider Name (Legal Business Name) : COLE PEDIATRIC THERAPY
Provider Business Mailing Address
First Line : 6701 PINEMONT DR STE 200
Second Line :
City : HOUSTON
State : TX
Zip : 77092-3131
Country : US
Telephone Number : 832-209-7830
Fax Number :
Provider Business Practice Location Address
First Line : 6701 PINEMONT DR STE 200
Second Line :
City : HOUSTON
State : TX
Zip : 77092-3131
Country : US
Telephone Number : 832-209-7830
Fax Number :
Authorized Official
Title or Position : SITE 3 SUPERVISOR
Name : VIKKI JOHNSON
Credential : SPL
Telephone Number : 713-598-8768
Provider Enumeration Date : 07/29/2014
Last Update Date : 07/29/2014

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Directions to “COLE PEDIATRIC THERAPY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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