GARY B COLE MD PA NPI 1124017819

NPI Information

NPI: 1124017819
Provider Name: GARY B COLE, MD, PA

Other Name: FASTRAC MINOR EMERGENCY CLINIC

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
901 N JEFFERSON AVE
MT PLEASANT, TX
ZIP 75455
Phone: (903) 577-7700
Get Directions

GARY B COLE, MD, PA is a primary care clinic center in Mt Pleasant, TX. GARY B COLE, MD, PA NPI is 1124017819. The provider is registered as an organization entity type.
The provider Other Name Is Fastrac Minor Emergency Clinic.

The provider's business location address is:

901 N JEFFERSON AVE
MT PLEASANT, TX
ZIP 75455-259
Phone: (903) 577-7700
Fax: (903) 577-7706

The provider's authorized official is Gary B. Cole .
The authorized official title is Owner and has the following contact phone number (903) 577-7700.

The enumeration date for this NPI number is 10/17/2005 and was last updated on 12/17/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	E3237	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0020LW	OTHER	TEXAS	BCBS
2	00503X	MEDICARE PIN	TEXAS
3	C14618	MEDICARE UPIN	TEXAS
4	172541201	MEDICAID	TEXAS
5	8C7048	MEDICARE PIN	TEXAS
6	8P5370	OTHER	TEXAS	BCBS
7	172841201	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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