MEDICARE: JOE L. COLE, M.D., P.A.

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
1	207RR0500X	Rheumatology Physician	F1464	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
7	DB8033	OTHER	TX	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0094PY	OTHER	TX	BCBS
2	126481406	OTHER	TX	SUPERIOR, AETNA & DRISC
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	126481401	OTHER	TX	CIDC
5	126481402	OTHER	TX	COMMUNITY FIRST
6	00H24Y	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1053427658
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOE L. COLE, M.D., P.A.

Provider Business Mailing Address
First Line	:	8001 BROADWAY ST
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78209-2628
Country	:	US
Telephone Number	:	210-930-0440
Fax Number	:

Provider Business Practice Location Address
First Line	:	8001 BROADWAY ST
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78209-2628
Country	:	US
Telephone Number	:	210-930-0440
Fax Number	:

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. JOE L COLE
Credential	:	M.D.
Telephone Number	:	210-930-0440

Provider Enumeration Date	:	08/23/2006
Last Update Date	:	06/27/2014

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