Organization
GARY B COLE, MD, PA
Active
Other names
Fastrac Minor Emergency Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY B. COLE M.D. (OWNER)
(903) 577-7700
Entity
Organization
Contact information
Practice address
901 N JEFFERSON AVE, MT PLEASANT, TX 75455-3259
(903) 577-7700
(903) 577-7706
Mailing address
PO BOX 531, MT PLEASANT, TX 75456-0531
(903) 577-7700
(903) 577-7706
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
E3237
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0020LW
BCBS
TX
05
—
172541201
—
TX
05
—
172841201
—
TX
01
—
8P5370
BCBS
TX
Enumeration date
10/17/2005
Last updated
12/17/2009
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