Provider Demographics
NPI:1700892080
Name:COLE, DONALD D III (MD)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:D
Last Name:COLE
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:6210 E HWY 290 STE 240
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78723-1144
Mailing Address - Country:US
Mailing Address - Phone:512-483-9596
Mailing Address - Fax:512-406-6216
Practice Address - Street 1:5656 BEE CAVES RD STE G200
Practice Address - Street 2:
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-5271
Practice Address - Country:US
Practice Address - Phone:512-338-3850
Practice Address - Fax:512-406-6215
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXK5490207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX043981202Medicaid
TX043981204Medicaid
TXP00244056Medicare PIN
TX043981203Medicaid
TX8D6696Medicare PIN