Nugent, John Laurence Earl
Nugent, John Laurence Earl is an individual health care provider with primary practice located at 1001 12Th Ave Suite 200, Fort Worth TX 76104-3926. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Nugent, John Laurence Earl can be contacted via phone (817) 850-2000.Contact Information
Primary practice address
1001 12Th Ave Suite 200
Fort Worth TX 76104-3926
Phone: (817) 850-2000
Fax: (817) 850-2065
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | E1091 | Texas |
Profile Details
| NPI number | 1083656094 |
|---|---|
| LBN Legal business name | Nugent, John Laurence Earl |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Mar 11th, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083656094 | NPPES |
| Texas | MEDICAID | 124554002 | |
| Texas | MEDICAID | 124554005 | |
| Texas | MEDICAID | 124554006 | |
| Texas | Other | 8R1516 | |
| Texas | MEDICAID | 124554003 | |
| Texas | MEDICAID | 124554008 | |
| Texas | MEDICAID | 124554001 |
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