Basic Information
| Provider Information | |||||||||
| NPI: | 1629092994 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NOLAN | ||||||||
| FirstName: | STEVEN | ||||||||
| MiddleName: | E. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 14861 SOUTHWEST FREEWAY | ||||||||
| Address2: | SUITE C-302 | ||||||||
| City: | SUGAR LAND | ||||||||
| State: | TX | ||||||||
| PostalCode: | 77478 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2813401234 | ||||||||
| FaxNumber: | 2813401242 | ||||||||
| Practice Location | |||||||||
| Address1: | 7401 S MAIN | ||||||||
| Address2: | FONDREN ORTHOPEDIC GROUP L.L.P. | ||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770304509 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7137992300 | ||||||||
| FaxNumber: | 7137943380 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/27/2006 | ||||||||
| LastUpdateDate: | 12/18/2013 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | E8767 | TX | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
ID Information
| ID | Type | State | Issuer | Description | 125722206 | 05 | TX | MEDICAID | 8G4526 | 01 | TX | S. TEXAS MEDICAL CLINICS-MEDICARE | OTHER | TXB153816 | 01 | TX | MEMORIAL HERMANN-MEDICARE | OTHER | 8G7221 | 01 | TX | MEDICARE | OTHER | 8U1765 | 01 | TX | BLUE CROSS & BLUE SHIELD | OTHER | PO1227163 | 01 | TX | STMC-RAILROAD MEDICARE # | OTHER | 20021562 | 01 | TX | S. TEXAS MEDICAL CLINICS-TRAVELERS MEDICARE | OTHER | 2225182 | 01 | TX | BLUE LINK | OTHER | 128849006 | 01 | TX | S. TEXAS MEDICAL CLINICS-TPI MEDICAID | OTHER | 128849009 | 01 | TX | MEMORIAL HERMANN-MEDICAID | OTHER | 4411984 | 01 | TX | AETNA PPO, HMO, EPO | OTHER | 8DE540 | 01 | TX | MEMORIAL HERMANN-BC/BS | OTHER | 8U5693 | 01 | TX | S. TEXAS MEDICAL CLINICS-BLUE CROSS & BLUE SHIELD | OTHER | MDE8767TX | 01 | TX | S. TEXAS MEDICAL CLINICS-WORKERS COMP | OTHER |