45D1094853 CLIA NUMBER - THOMAS C COLE JR MD PA

Laboratory Demographics

CLIA Number: 45D1094853

Facility Name: THOMAS C COLE JR MD PA

Facility Address:
1203 AVENUE J
HUNTSVILLE, TX
ZIP 77340
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Facility Phone Number: 936 295-3728

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1265525851

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	45D1094853
LAB Type	Physician Office
Facility Name	THOMAS C COLE JR MD PA
Street	1203 AVENUE J
City	HUNTSVILLE
State	TX
ZIP	77340
Phone	936 295-3728
CertificateType	4
CertificateEffectiveDate	11/22/2023
CertificateExpirationDate	11/21/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024