1629092994 NPI number — STEVEN E. NOLAN MD

Table of content: HADEE ALKHANDAK (NPI 1245966795)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1629092994 NPI number — STEVEN E. NOLAN MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
NOLAN
Provider First Name:
STEVEN
Provider Middle Name:
E.
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1629092994
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/18/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
14861 SOUTHWEST FREEWAY
Provider Second Line Business Mailing Address:
SUITE C-302
Provider Business Mailing Address City Name:
SUGAR LAND
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77478
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-340-1234
Provider Business Mailing Address Fax Number:
281-340-1242

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7401 S MAIN
Provider Second Line Business Practice Location Address:
FONDREN ORTHOPEDIC GROUP L.L.P.
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77030-4509
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-799-2300
Provider Business Practice Location Address Fax Number:
713-794-3380
Provider Enumeration Date:
07/27/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207X00000X , with the licence number:  E8767 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 125722206 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 8G4526 . This is a "S. TEXAS MEDICAL CLINICS-MEDICARE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: TXB153816 . This is a "MEMORIAL HERMANN-MEDICARE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 8G7221 . This is a "MEDICARE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 8U1765 . This is a "BLUE CROSS & BLUE SHIELD" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: PO1227163 . This is a "STMC-RAILROAD MEDICARE #" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 20021562 . This is a "S. TEXAS MEDICAL CLINICS-TRAVELERS MEDICARE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 2225182 . This is a "BLUE LINK" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 128849006 . This is a "S. TEXAS MEDICAL CLINICS-TPI MEDICAID" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 128849009 . This is a "MEMORIAL HERMANN-MEDICAID" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 4411984 . This is a "AETNA PPO, HMO, EPO" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 8DE540 . This is a "MEMORIAL HERMANN-BC/BS" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 8U5693 . This is a "S. TEXAS MEDICAL CLINICS-BLUE CROSS & BLUE SHIELD" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: MDE8767TX . This is a "S. TEXAS MEDICAL CLINICS-WORKERS COMP" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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