W. Noubani, Pa Medical Pllc

NPI 1568691764 - Physician Assistant - 363AM0700X

NPI Details
NPI 1568691764
Enumeration Date 07/08/2009
Last Updated 07/08/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name WISSAM WISSAM
Position OWNER
Phone (817) 472-7601
Fax (817) 472-7213
Practice Location
6407 S COOPER ST
117
ARLINGTON TX, 76001-6795, US
Phone (817) 472-7601
Fax (817) 472-7213
Business Location
6407 S COOPER ST
117
ARLINGTON TX, 76001-6795, US
Phone (817) 472-7601
Fax (817) 472-7213
Toxanomy
Taxonomy Code 363AM0700X
License State Texas
License Number PA03902
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According to our database, W. Noubani, Pa Medical Pllc NPI is 1568691764, taxonomy code is 363AM0700X and license number is PA03902, license state is located at Texas. W. Noubani, Pa Medical Pllc physically located at 6407 S Cooper St, Arlington TX, 76001-6795. NPI Number 1033115704 has the healthcare provider type.

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1568691764 NPI number is provided on an as is basis without warranty of any kind. 1568691764 is maintained by the National Plan & Provider Enumeration System. The contents of W. Noubani, Pa Medical Pllc are for informational purposes only.