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NPI Code Detail

MEDICARE: DR. ALAN E NOLASCO MD

MEDICARE: DR. ALAN E NOLASCO MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianL1955TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
28V6030OTHERTXBCBS INDIVIDUAL
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1306946165
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALAN E NOLASCO MD
Provider Business Mailing Address
First Line : 11012 AIRLINE DR SUITE A
Second Line :
City : HOUSTON
State : TX
Zip : 77037
Country : US
Telephone Number : 281-820-8955
Fax Number : 281-667-3275
Provider Business Practice Location Address
First Line : 11012 AIRLINE DR STE A
Second Line :
City : HOUSTON
State : TX
Zip : 77037-1112
Country : US
Telephone Number : 281-477-7144
Fax Number : 281-667-3275
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2006
Last Update Date : 05/01/2015

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Directions to “ DR. ALAN E NOLASCO MD” Practice Location

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