Nacol, Michael Edwin Samuel

Nacol, Michael Edwin Samuel is an sole proprietor health care provider with primary practice located at 3201 S Austin Ave 130, Georgetown TX 78626-7537. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Nacol, Michael Edwin Samuel can be contacted via phone (512) 863-7440.

Contact Information

Primary practice address
3201 S Austin Ave 130 Georgetown TX 78626-7537
Phone: (512) 863-7440
Fax: (512) 869-8716
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X F6987 Texas

Profile Details

NPI number 1114915030
LBN Legal business name Nacol, Michael Edwin Samuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2005
Last updated Jan 8th, 2010 - about 15 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 1114915030 NPPES
Texas MEDICAID 114924702

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