Individual
NOLAN BRUCE JENEVEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6301 GASTON AVE STE 100W, DALLAS, TX 75214-6273
(214) 827-3610
(214) 821-4017
Mailing address
6301 GASTON AVE STE 100W, DALLAS, TX 75214-6273
(214) 827-3610
(214) 821-4017
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
H2492
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128206304
—
TX
Enumeration date
03/01/2006
Last updated
11/19/2018
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