Provider Demographics
NPI:1659361129
Name:COLE, NICHOLE FLEMING (MD)
Entity Type:Individual
Prefix:DR
First Name:NICHOLE
Middle Name:FLEMING
Last Name:COLE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:SUITE 480 23920 KATY FREEWAY
Mailing Address - Street 2:KATY ADVANCED OBGYN PLLC
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-1339
Mailing Address - Country:US
Mailing Address - Phone:832-553-5450
Mailing Address - Fax:281-347-2300
Practice Address - Street 1:SUITE 480 23920 KATY FREEWAY
Practice Address - Street 2:KATY ADVANCED OBGYN PLLC
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-1339
Practice Address - Country:US
Practice Address - Phone:832-553-5450
Practice Address - Fax:281-347-2300
Is Sole Proprietor?:No
Enumeration Date:2005-10-26
Last Update Date:2015-09-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXL1005207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX150776602Medicaid
TX8G1649Medicare PIN
TXH57235Medicare UPIN