Nolen, Avery

Nolen, Avery is an individual health care provider with primary practice located at 1601 E. Debbie Lane Suite 2109, Mansfield TX 76063. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Nolen, Avery can be contacted via phone (817) 473-9125.

Contact Information

Primary practice address
1601 E. Debbie Lane Suite 2109 Mansfield TX 76063
Phone: (817) 473-9125
Fax: (817) 473-9126
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Q6548 Texas

Profile Details

NPI number 1306281423
LBN Legal business name Nolen, Avery
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2013
Last updated Dec 8th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306281423 NPPES
Texas Other 8FS687 BLUE CROSS
Texas MEDICAID 359802101 BLUE CROSS

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