Organization
BILL D NOLEN PA
Active
Other names
NOLEN CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BILL D NOLEN D.O. (OWNER)
(979) 242-5878
Entity
Organization
Contact information
Practice address
2 SAINT MARKS PL STE 112, LA GRANGE, TX 78945-1256
(979) 242-5878
(979) 242-5818
Mailing address
2 SAINT MARKS PL STE 112, LA GRANGE, TX 78945-1256
(979) 242-5878
(979) 242-5818
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085122201
—
TX
Enumeration date
12/24/2007
Last updated
07/25/2008
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