Healthcare Provider Details

I. General information

NPI: 1609153220
Provider Name (Legal Business Name): DON NELSON ATP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/10/2011
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1173 BENT OAKS DR
DENTON TX
76210-8351
US

IV. Provider business mailing address

1173 BENT OAKS DR
DENTON TX
76210-8351
US

V. Phone/Fax

Practice location:
  • Phone: 940-380-0455
  • Fax: 940-382-3026
Mailing address:
  • Phone: 940-380-0455
  • Fax: 940-382-3026

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number3436
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: