Individual
DR. CHARLES RAYMOND NOLAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1215 EAST COURT STREET, GUADALUPE REGIONAL MEDICAL CENTER, SEGUIN, TX 78155
(830) 401-7561
(830) 379-4441
Mailing address
1215 E COURT ST, GUADALUPE REGIONAL HOSPICE SERVICES, SEGUIN, TX 78155-5129
(830) 401-7561
(830) 379-4441
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
J3175
TX
207RN0300X
Nephrology Physician
J3175
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046605404
—
TX
Enumeration date
08/10/2006
Last updated
08/29/2014
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