| Cole Medical | |
|
6304 Heineman Court Rowlett TX 75089-0188 | |
| (214) 288-8981 | |
| (833) 471-4886 |
| Full Name | Cole Medical |
|---|---|
| Speciality | General Practice |
| Location | 6304 Heineman Court, Rowlett, Texas |
| Authorized Official Name and Position | Heidi Jo Cole (OWNER) |
| Authorized Official Contact | 9454268057 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cole Medical 6304 Heineman Court Rowlett TX 75089-0188 Ph: (214) 288-8981 | Cole Medical 6304 Heineman Court Rowlett TX 75089-0188 Ph: (214) 288-8981 |
| NPI Number | 1477273233 |
|---|---|
| Provider Enumeration Date | 08/31/2022 |
| Last Update Date | 10/23/2023 |
| Certification Date | 10/23/2023 |
| Medicare PECOS PAC ID | 0345614897 |
|---|---|
| Medicare Enrollment ID | O20230323001201 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477273233 | NPI | - | NPPES |
| 460274001 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
| Provider Name | Heidi Cole |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447769112 PECOS PAC ID: 7517223571 Enrollment ID: I20171107001592 |
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