Provider Demographics
NPI:1376106559
Name:COLE, LILLIAN CHIOMA (MD)
Entity Type:Individual
Prefix:
First Name:LILLIAN
Middle Name:CHIOMA
Last Name:COLE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 N COIT RD
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-6655
Mailing Address - Country:US
Mailing Address - Phone:512-222-6419
Mailing Address - Fax:
Practice Address - Street 1:1400 N COIT RD
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-6655
Practice Address - Country:US
Practice Address - Phone:512-222-6419
Practice Address - Fax:214-648-7370
Is Sole Proprietor?:No
Enumeration Date:2019-04-15
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3195242084P0800X
TXT50892084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry