Healthcare Provider Details

I. General information

NPI: 1457480055
Provider Name (Legal Business Name): STEVEN LARRY COLE D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/02/2007
Last Update Date: 11/21/2025
Certification Date: 11/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9201 N CENTRAL EXPY STE 225
DALLAS TX
75231-0604
US

IV. Provider business mailing address

9201 N CENTRAL EXPY STE 225
DALLAS TX
75231-0604
US

V. Phone/Fax

Practice location:
  • Phone: 214-363-8889
  • Fax: 214-363-9416
Mailing address:
  • Phone: 214-363-8889
  • Fax: 214-363-9416

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License NumberL4312
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207RA0201X
TaxonomyAllergy & Immunology (Internal Medicine) Physician
License NumberL4312
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code207RA0201X
TaxonomyAllergy & Immunology (Internal Medicine) Physician
License NumberOS 9346
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: