Individual
DEBRA COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 S MAIN ST, VIDOR, TX 77662-5745
(409) 769-3692
Mailing address
235 CARLA ST, VIDOR, TX 77662-9183
(409) 225-1765
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
839641
TX
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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