MEDICARE: KRISETTE ELIZABETH COLE

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	374J00000X	Doula	PR11-202509	TX
2	164X00000X	Licensed Vocational Nurse	1013807	TX

General Provider Information

NPI Number	:	1790638278
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISETTE ELIZABETH COLE

Provider Business Mailing Address
First Line	:	4634 HUNTER RIDGE DR
Second Line	:
City	:	MIDLOTHIAN
State	:	TX
Zip	:	76065-6469
Country	:	US
Telephone Number	:	682-217-8936
Fax Number	:

Provider Business Practice Location Address
First Line	:	4634 HUNTER RIDGE DR
Second Line	:
City	:	MIDLOTHIAN
State	:	TX
Zip	:	76065-6469
Country	:	US
Telephone Number	:	682-217-8936
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/16/2026
Last Update Date	:	02/16/2026

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Directions to “ KRISETTE ELIZABETH COLE ” Practice Location

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