Individual
DR. ANN LOUISE NOLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
7600 HIGHWAY 29 W, SUITE 5, GEORGETOWN, TX 78628-6937
(512) 930-0363
(512) 930-0371
Mailing address
PO BOX 2297, GEORGETOWN, TX 78627-2297
(512) 930-0363
(512) 930-0371
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
G1494
TX
207Q00000X
Family Medicine Physician
Primary
G1494
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0051MN
BCBS
TX
01
—
8R9970
BCBS
TX
01
—
DG7386
RAILROAD MEDICARE
TX
01
—
G1494
LICENSE
TX
01
—
P00451852
PTAN MEDICARE RR
TX
Enumeration date
10/02/2006
Last updated
06/05/2009
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