Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0120X | Pediatric Surgery | MD0000006683 | TN |
N | 208800000X | Urologist | MD0000006683 | TN |
NPI | 1407950934 |
---|---|
Provider Name | Dr. Horace Norman Noe |
First Address | Memphis, TN 38120-0600 |
Second Address | Memphis, TN 38120-0600 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000122193 | (05) | TN |
02733501 | (05) | MS |
1528 | (05) | TN |
2005411 | BLUE CROSS/BLUE SHIELD (01) | TN |
2574838-004 | CIGNA (01) | |
40006683 | UNITED HEALTHCARE (01) | |
7343762 | AETNA (01) | |
B02730 | (02) | TN |
B02730 | (05) | TN |