Individual
MICHAEL NOLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
9250 PINECROFT DR, THE WOODLANDS, TX 77380-3218
(281) 364-2300
Mailing address
10203 CLUBHOUSE CIR, MAGNOLIA, TX 77354-6937
(281) 252-5115
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
3376
OK
207P00000X
Emergency Medicine Physician
Primary
K7465
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
045563602
—
TX
05
—
045563603
—
TX
01
—
8X7859
BCBS
TX
Enumeration date
07/17/2006
Last updated
11/26/2008
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