Nelon Medical Group PLLC
Specialist in Burleson, TX. Organization (NPI-2).
NPI number1902202575
StatusActive
Last updated in NPPESNov 10, 2014
Details
- NPI
- 1902202575
- Entity type
- Organization (NPI-2)
- Legal business name
- Nelon Medical Group PLLC
- Organization subpart
- No
- Enumeration date
- Nov 10, 2014
- Last updated
- Nov 10, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | G3640 | TX | Yes |
Other names
- Nelon Medical Group PLLC (Doing Business As)
Practice location
434 Sw Wilshire BlvdBurleson, TX 76028-5330
Phone 817-447-1208
Mailing address
434 Sw Wilshire BlvdBurleson, ZZ
Authorized official
Burlyn C Nelon
Owner/D.O
8174471208
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