Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | D8318 | TX |
NPI | 1003922931 |
---|---|
Provider Name | Carl Edward Noe |
First Address | Dallas, TX 75235-7202 |
Second Address | Dallas, TX 75390-9189 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/08/2006 |
Last Update Date | 20/08/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1226334-01 | (05) | TX |
8F2386 | (02) |