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Individual

MARK D COLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
2411 FOUNTAIN VIEW DR, STE. 200, HOUSTON, TX 77057-4817
(713) 620-4000
Mailing address
2411 FOUNTAIN VIEW DR, STE. 200, HOUSTON, TX 77057-4817
(713) 620-4000

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
813251
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
290714901
TX
05
290714902
TX
01
8563UC
BLUE CROSS BLUE SHIELD
TX
Enumeration date
02/22/2012
Last updated
05/24/2012
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