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NPI Code Detail

MEDICARE: DR. AUSTIN TAYLOR NOLAN MD

MEDICARE: DR. AUSTIN TAYLOR NOLAN 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
1207L00000XAnesthesiology PhysicianE-20780AR

General Provider Information

NPI Number : 1558002402
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AUSTIN TAYLOR NOLAN MD
Provider Business Mailing Address
First Line : 11001 EXECUTIVE CENTER DR STE 200
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72211-4393
Country : US
Telephone Number : 501-202-2093
Fax Number : 501-202-6316
Provider Business Practice Location Address
First Line : 4301 W MARKHAM ST # 515
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72205-7101
Country : US
Telephone Number : 501-603-1656
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2022
Last Update Date : 05/26/2026

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