Provider Demographics
NPI:1053427658
Name:JOE L. COLE, M.D., P.A.
Entity type:Organization
Organization Name:JOE L. COLE, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JOE
Authorized Official - Middle Name:L
Authorized Official - Last Name:COLE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-930-0440
Mailing Address - Street 1:8001 BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209-2628
Mailing Address - Country:US
Mailing Address - Phone:210-930-0440
Mailing Address - Fax:
Practice Address - Street 1:8001 BROADWAY ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209-2628
Practice Address - Country:US
Practice Address - Phone:210-930-0440
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-23
Last Update Date:2014-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF1464207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0094PYOtherBCBS
TX126481406OtherSUPERIOR, AETNA & DRISC
TX171838901Medicaid
TX126481401OtherCIDC
TX126481402OtherCOMMUNITY FIRST
TX00H24YOtherBCBS
TXDB8033OtherMEDICARE RAILROAD
TXC14626Medicare UPIN
TX00H24YOtherBCBS