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NPI Code Detail

MEDICARE: MATTHEW NOLAN

MEDICARE: MATTHEW NOLAN
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
1101YM0800XMental Health Counselor86998TX

General Provider Information

NPI Number : 1326825027
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW NOLAN
Provider Business Mailing Address
First Line : 3452 WHITNEY WAY
Second Line :
City : HURST
State : TX
Zip : 76054-2060
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8805 N TARRANT PKWY
Second Line :
City : NORTH RICHLAND HILLS
State : TX
Zip : 76182-8461
Country : US
Telephone Number : 817-281-6822
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2023
Last Update Date : 09/14/2023

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Directions to “ MATTHEW NOLAN ” Practice Location

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