Provider Demographics
NPI:1417438086
Name:NABORS, ORLEN
Entity Type:Individual
Prefix:
First Name:ORLEN
Middle Name:
Last Name:NABORS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3295 FRENCH RD
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77703-2603
Mailing Address - Country:US
Mailing Address - Phone:409-433-4808
Mailing Address - Fax:
Practice Address - Street 1:3295 FRENCH RD
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77703-2603
Practice Address - Country:US
Practice Address - Phone:409-433-4808
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-22
Last Update Date:2018-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide