Jenevein, Nolan Bruce

Jenevein, Nolan Bruce is an individual health care provider with primary practice located at 6301 Gaston Ave Ste 100W , Dallas TX 75214-6273. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Jenevein, Nolan Bruce can be contacted via phone (214) 827-3610.

Contact Information

Primary practice address
6301 Gaston Ave Ste 100W Dallas TX 75214-6273
Phone: (214) 827-3610
Fax: (214) 821-4017
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X H2492 Texas

Profile Details

NPI number 1346217163
LBN Legal business name Jenevein, Nolan Bruce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Nov 19th, 2018 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346217163 NPPES
Texas MEDICAID 128206304

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