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NPI Code Detail

MEDICARE: DR. SHELLEY G. COLE M.D.

MEDICARE: DR. SHELLEY G. COLE M.D.
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
1207VG0400XGynecology PhysicianJ6961TX

General Provider Information

NPI Number : 1528185733
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHELLEY G. COLE M.D.
Provider Business Mailing Address
First Line : 3010 SCOTT BLVD STE 104
Second Line :
City : TEMPLE
State : TX
Zip : 76504-6803
Country : US
Telephone Number : 254-773-8339
Fax Number : 254-773-5113
Provider Business Practice Location Address
First Line : 3010 SCOTT BLVD STE 104
Second Line :
City : TEMPLE
State : TX
Zip : 76504-6803
Country : US
Telephone Number : 254-773-8339
Fax Number : 254-773-5113
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2007
Last Update Date : 11/19/2019

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Directions to “ DR. SHELLEY G. COLE M.D.” Practice Location

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