# T C COLE JR MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790922870
- **Authorized official:** THOMAS CARROLL COLE JR. MD (PHYSICIAN)
- **Authorized official phone:** (936) 295-3728

## Contact information

- **Practice address:** 1203 AVENUE J, HUNTSVILLE, TX 77340-4628
- **Practice address phone:** (936) 295-3728
- **Mailing address:** 1203 AVENUE J, HUNTSVILLE, TX 77340-4628
- **Mailing address phone:** (936) 295-3728

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | E3238 | TX | Yes |

## Other

- **Enumeration date:** 01/12/2009
- **Last updated:** 01/12/2009