Healthcare Provider Details

I. General information

NPI: 1629092994
Provider Name (Legal Business Name): STEVEN E. NOLAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2006
Last Update Date: 12/18/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7401 S MAIN FONDREN ORTHOPEDIC GROUP L.L.P.
HOUSTON TX
77030-4509
US

IV. Provider business mailing address

14861 SOUTHWEST FREEWAY SUITE C-302
SUGAR LAND TX
77478
US

V. Phone/Fax

Practice location:
  • Phone: 713-799-2300
  • Fax: 713-794-3380
Mailing address:
  • Phone: 281-340-1234
  • Fax: 281-340-1242

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberE8767
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: