Individual
DR. MEL COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1111 W FRANK AVE STE 301, LUFKIN, TX 75904-3392
(936) 639-1740
Mailing address
PO BOX 150820, LUFKIN, TX 75915-0820
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G3239
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010017879
RR MEDICARE
—
05
—
089653202
—
TX
01
—
752162824
TAX ID
—
Enumeration date
08/16/2006
Last updated
03/04/2016
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