JO ANNE NOWICK OLIVER, PA
Ambulatory Health at Hickory St, Denton, TX

License number
Texas 00865
Category
Ambulatory Health
Type
Adult Mental Health
Owner
Name: MR. COLE DALTON
Title: OFFICE MANAGER
Phone: (940) 891-4330
Address
Address
207 W Hickory St SUITE 114, Denton, TX 76201
National Provider ID: 1265708283
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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JO ANNE NOWICK OLIVER PA

Denton, TX

Doing business as:
Jo Anne Nowick Oliver PA
Registration:
Mar 5, 2002
Addresses:
207 W Hickory St STE 114, Denton, TX 76201 (Mailing)
100 W Oak St, Denton, TX 76201
State ID:
0800061482
Business type:
Professional Association
President, Treasurer, Secretary, Director, Member, Vice-President:
Jo Anne Nowick Oliver (President, Treasurer, Secretary, Director, Member, Vice-President)
Agent:
Fulton Professional Services, Llc,1300 Fulton St, Denton, TX 76201 (Physical)
TIN:
32035919508

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