MEDICARE: DR. CARLA JEAN COLE D.O.

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	208000000X	Pediatrics Physician	K7265	TX

General Provider Information

NPI Number	:	1932155942
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CARLA JEAN COLE D.O.

Provider Business Mailing Address
First Line	:	323 N SHILOH RD
Second Line	:
City	:	GARLAND
State	:	TX
Zip	:	75042-6610
Country	:	US
Telephone Number	:	972-272-2777
Fax Number	:	972-276-0932

Provider Business Practice Location Address
First Line	:	323 N SHILOH RD
Second Line	:
City	:	GARLAND
State	:	TX
Zip	:	75042-6610
Country	:	US
Telephone Number	:	972-272-2777
Fax Number	:	972-276-0932

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

Provider Enumeration Date	:	05/25/2006
Last Update Date	:	10/24/2022

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