Individual
JOHN EDWARD NOLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA/C
Contact information
Practice address
750 ANDERSON COUNTY ROAD 457, MONTALBA, TX 75853
(903) 549-2772
Mailing address
750 ANDERSON COUNTY ROAD 457, MONTALBA, TX 75853
(903) 549-2772
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAO1635
TX
Other
Enumeration date
12/08/2011
Last updated
12/08/2011
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