Provider Demographics
NPI:1457899452
Name:PERRY BRITT NOLEN, DDS
Entity type:Organization
Organization Name:PERRY BRITT NOLEN, DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PERRY
Authorized Official - Middle Name:BRITT
Authorized Official - Last Name:NOLEN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:832-301-3617
Mailing Address - Street 1:415 WESTHEIMER RD STE 209
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77006-3058
Mailing Address - Country:US
Mailing Address - Phone:832-301-3617
Mailing Address - Fax:832-917-6895
Practice Address - Street 1:415 WESTHEIMER RD STE 209
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77006-3058
Practice Address - Country:US
Practice Address - Phone:832-301-3617
Practice Address - Fax:832-917-6895
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-09
Last Update Date:2017-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11922332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies