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Individual
SHANE PARKER COLE
Active
Individual
SHANE PARKER COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
LL 29020
SC
207P00000X
Emergency Medicine Physician
Primary
N3571
TX
207P00000X
Emergency Medicine Physician
TEMP MED LICENSE
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204092501
—
TX
05
—
204092502
—
TX
01
—
8BT331
BCBS TX
TX
01
—
P00791718
RR MCARE THRU SAEMA
—
01
—
P00834182
RR MCARE THRU AEMA
—
Enumeration date
03/09/2007
Last updated
10/08/2025
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