Individual
BARBARA JEAN COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1364 GILLETTE ST, DALLAS, TX 75217
(214) 391-8097
Mailing address
1364 GILLETTE ST, DALLAS, TX 75217-1207
(214) 391-8097
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
148618
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001012024
CCAD
TX
01
—
001012285
CBA
TX
Enumeration date
02/17/2007
Last updated
08/22/2018
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