Provider Demographics
NPI:1992818389
Name:NOLASCO, NOEL J (DC)
Entity type:Individual
Prefix:DR
First Name:NOEL
Middle Name:J
Last Name:NOLASCO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:8802 MARBACH RD
Mailing Address - Street 2:STE 101
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78227-2355
Mailing Address - Country:US
Mailing Address - Phone:210-673-5330
Mailing Address - Fax:210-673-5337
Practice Address - Street 1:8802 MARBACH RD
Practice Address - Street 2:STE 101
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78227-2355
Practice Address - Country:US
Practice Address - Phone:210-673-5330
Practice Address - Fax:210-673-5337
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2019-07-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX9034111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor