Individual
COLE NIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
DEPT OF ANESTHESIOLOGY 2401 S 31ST ST, TEMPLE, TX 76508-0001
(208) 339-6313
(254) 724-6317
Mailing address
6134 FAIR HILL DR, TEMPLE, TX 76502-1983
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
BP10061457
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP10061457
TEXAS MEDICAL BOARD
TX
Enumeration date
06/02/2017
Last updated
06/02/2017
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