John Edward Nolen, PA/C

NPI #1912275637 in Montalba, Texas

Provider Information

NPI Number: 1912275637
Entity Type: Individual
Name: John Edward Nolen, PA/C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA/C
Enumeration Date: Dec 8, 2011
Last Updated: Dec 8, 2011

Practice Location

Address: 750 ANDERSON COUNTY ROAD 457
City: Montalba
State: Texas
ZIP Code: 75853
Phone: (903) 549-2772

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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