Provider Demographics
NPI:1689025017
Name:WARD, COLE ROBERT (DC)
Entity Type:Individual
Prefix:DR
First Name:COLE
Middle Name:ROBERT
Last Name:WARD
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2201 DOUBLE CREEK DR
Mailing Address - Street 2:SUITE 5003
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78664-3836
Mailing Address - Country:US
Mailing Address - Phone:512-733-8838
Mailing Address - Fax:512-733-8828
Practice Address - Street 1:2201 DOUBLE CREEK DR
Practice Address - Street 2:SUITE 5003
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-3836
Practice Address - Country:US
Practice Address - Phone:512-733-8838
Practice Address - Fax:512-733-8828
Is Sole Proprietor?:No
Enumeration Date:2016-06-27
Last Update Date:2016-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13254111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor