This paper evaluates high-speed broadband packet wireless access in the forward link using coherent Time Division-Orthogonal Frequency and Code Division Multiplexing (TD-OFCDM) by applying time-multiplexed pilot symbol assisted channel estimation and integrating efficient multi-level modulation, hybrid automatic repeat request (ARQ), and code-multiplexing over a 50-100 MHz bandwidth. Computer simulation results first clarify that the common time-multiplexed pilot symbols with the transmit power of 6 dB higher than that of data symbols should be placed at both the beginning and end of a packet, and that the optimum averaging interval of channel estimates in the frequency domain is different according to the delay spread of a channel. Based on these optimized parameters for packet transmission, we show that the orthogonality among the code-multiplexed channels is destroyed due to severe frequency selective (multipath) fading and the accumulation of spread signals using equal gain combining (EGC) in the frequency domain. This degrades the achievable throughput performance especially when employing multi-level modulation and a high coding rate. Consequently, coherent TD-OFCDM with 8PSK data modulation and the convolutional coding of rate R = 2/3 employing sixteen-code multiplexing (spreading factor (SF) is 16) achieves the highest throughput of approximately 105 Mbps at the average received Eb/N0 (signal energy per bit-to-noise power spectrum density ratio) of approximately 24 dB in a 3-path Rayleigh fading channel (rms delay spread, σ= 0.1 µsec). Furthermore, in coherent TD-OFCDM with QPSK and R = 4/5 or 8PSK and R = 1/2, throughput performance greater than 80 Mbps is achieved at the average received Eb/N0 of approximately 20 dB even in a 24-path Rayleigh fading channel (σ= 0.2 µsec).