Provider Demographics
NPI:1982261988
Name:DAVECOLEPHD AND ASSOCIATES
Entity Type:Organization
Organization Name:DAVECOLEPHD AND ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OF OPERATIONS
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:DELEE
Authorized Official - Last Name:COLE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:713-697-4963
Mailing Address - Street 1:7007 NORTH FWY STE 300
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77076-1326
Mailing Address - Country:US
Mailing Address - Phone:713-697-4963
Mailing Address - Fax:713-697-4964
Practice Address - Street 1:4702 OLD SPANISH TRL STE 106
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77021-1718
Practice Address - Country:US
Practice Address - Phone:713-697-4963
Practice Address - Fax:713-697-4964
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DAVECOLEPHD AND ASSOCIATES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-05-24
Last Update Date:2019-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder