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NPI Code Detail

MEDICARE: ROBERTA JO COLE RN

MEDICARE: ROBERTA JO COLE RN
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
1163W00000XRegistered Nurse737028TX

General Provider Information

NPI Number : 1780527515
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERTA JO COLE RN
Provider Business Mailing Address
First Line : 309 BERRY DR
Second Line : 309 BERRY DR
City : HASLET
State : TX
Zip : 76052-4003
Country : US
Telephone Number : 817-913-4269
Fax Number :
Provider Business Practice Location Address
First Line : 3840 HULEN ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76107-7277
Country : US
Telephone Number : 817-569-4300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2026
Last Update Date : 05/12/2026

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