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NPI Code Detail

MEDICARE: PATRICK C. NOLAN MD

MEDICARE: PATRICK C. 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
12084N0400XNeurology PhysicianL8458TX

Other Identifiers

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

General Provider Information

NPI Number : 1841254331
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICK C. NOLAN MD
Provider Business Mailing Address
First Line : 6210 E HWY 290 STE 240
Second Line :
City : AUSTIN
State : TX
Zip : 78723-1144
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11714 WILSON PARKE AVE STE 150
Second Line :
City : AUSTIN
State : TX
Zip : 78726-4061
Country : US
Telephone Number : 737-247-7200
Fax Number : 512-406-7386
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2006
Last Update Date : 06/15/2023

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Directions to “ PATRICK C. NOLAN MD” Practice Location

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