Organization Active NPI

T C Cole Jr MD PA

  • General Practice Physician
  • Huntsville, TX
National Provider Identifier
1790922870
Registry record updated Jan 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
E3238 Issued in TX
Legal business name
T C COLE JR MD PA
Practice address
1203 Avenue J
Huntsville, TX 77340-4628
Phone
(936) 295-3728
NPI assigned
Jan 12, 2009
Last updated
Jan 12, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Thomas Carroll Cole Jr., MDNPI 1265525851
Title
Physician
Phone
(936) 295-3728

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X E3238 TX Primary

Addresses

Primary practice location

1203 Avenue J
Huntsville, TX 77340-4628

Mailing address

1203 Avenue J
Huntsville, TX 77340-4628
Phone (936) 295-3728

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090325000168 TX Part B Supplier - Clinic/Group Practice 0840357547 Receives reassigned benefits from 1 practitioner
Practice locations: Huntsville, TX

National Provider Directory

National Provider Directory

Locations

1203 Avenue J
Huntsville, TX 77340
Phone (409) 295-3728

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1231718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231718400000",
    "number": "1790922870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 AVENUE J",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773404628",
            "telephone_number": "936-295-3728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 AVENUE J",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773404628",
            "telephone_number": "936-295-3728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T C COLE JR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-12",
        "last_updated": "2009-01-12",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "CARROLL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "936-295-3728",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "E3238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.