Provider Demographics
NPI:1992846950
Name:COLE, JOHN F (DO)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:F
Last Name:COLE
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:1680 ANTILLEY RD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79606-5267
Mailing Address - Country:US
Mailing Address - Phone:325-428-5600
Mailing Address - Fax:325-426-5609
Practice Address - Street 1:6250 REGIONAL PLZ
Practice Address - Street 2:SUITE 1010
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79606-5262
Practice Address - Country:US
Practice Address - Phone:325-428-5500
Practice Address - Fax:325-428-5519
Is Sole Proprietor?:No
Enumeration Date:2007-02-10
Last Update Date:2013-07-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXL8315208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8BR113OtherBCBS
TX186272402Medicaid
TX1862724-01Medicaid
TX186272402Medicaid
TXP00729661Medicare PIN
TX8F9766Medicare PIN