Bill D Nolen PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BILL D NOLEN PA

Doing business as

NOLEN CLINIC

Practice address

2 Saint Marks PL Ste 112
La Grange, TX 78945-1256

Phone

(979) 242-5878

Fax

(979) 242-5818

NPI assigned

Dec 24, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Bill D Nolen, D.O.

Title

Owner

Phone

(979) 242-5878

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• NOLEN CLINIC Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216944000000",
    "number": "1801070974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SAINT MARKS PL STE 112",
            "city": "LA GRANGE",
            "state": "TX",
            "postal_code": "789451256",
            "telephone_number": "979-242-5878",
            "fax_number": "979-242-5818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SAINT MARKS PL STE 112",
            "city": "LA GRANGE",
            "state": "TX",
            "postal_code": "789451256",
            "telephone_number": "979-242-5878",
            "fax_number": "979-242-5818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BILL D NOLEN PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-24",
        "last_updated": "2008-07-25",
        "status": "A",
        "authorized_official_last_name": "NOLEN",
        "authorized_official_first_name": "BILL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "979-242-5878",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "085122201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NOLEN CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in La Grange, TX
• Providers in La Grange, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.