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NELON MEDICAL GROUP PLLC NPI 1902202575


NPI Information

NPI: 1902202575
Provider Name: NELON MEDICAL GROUP PLLC

Doing Business As: NELON MEDICAL GROUP PLLC

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
434 SW WILSHIRE BLVD
BURLESON, TX
ZIP 76028
Phone: (817) 447-1208
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NELON MEDICAL GROUP PLLC is a specialist in Burleson, TX. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. NELON MEDICAL GROUP PLLC NPI is 1902202575. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Nelon Medical Group Pllc.

The provider's business location address is:

434 SW WILSHIRE BLVD
BURLESON, TX
ZIP 76028-330
Phone: (817) 447-1208

The provider's authorized official is Burlyn C Nelon .
The authorized official title is Owner/d.o and has the following contact phone number (817) 447-1208.

The enumeration date for this NPI number is 11/10/2014 and was last updated on 11/10/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistG3640TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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