Individual
THOMAS R NOLLEY SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6921 CHIPPENDALE DR, FORT WORTH, TX 76134-3803
(817) 353-4815
Mailing address
6921 CHIPPENDALE DR, FORT WORTH, TX 76134-3803
(817) 353-4815
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
14415815
TX
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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