Provider Demographics
NPI:1891254819
Name:ATKINSON, COLE (NP)
Entity Type:Individual
Prefix:
First Name:COLE
Middle Name:
Last Name:ATKINSON
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:409 COUNTY ROAD 563
Mailing Address - Street 2:
Mailing Address - City:KIRBYVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75956-2236
Mailing Address - Country:US
Mailing Address - Phone:409-423-0367
Mailing Address - Fax:
Practice Address - Street 1:3251 I H 45 N STE 100
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77304-2185
Practice Address - Country:US
Practice Address - Phone:936-414-9000
Practice Address - Fax:936-494-4431
Is Sole Proprietor?:No
Enumeration Date:2019-03-19
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX841127363LF0000X
TXAP140684363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily