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Individual

DR. LETHA BIRKHOLTZ COLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1430 RED HAWK RD, WIMBERLEY, TX 78676-5541
(512) 774-7144
Mailing address
1430 RED HAWK RD, WIMBERLEY, TX 78676-5541
(512) 535-7075

Taxonomy

Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
G8810
TX
2084P0800X
Psychiatry Physician
G8810
TX
2084P0804X
Child & Adolescent Psychiatry Physician
G8810
TX

Other

Enumeration date
08/13/2006
Last updated
01/18/2023
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