MEDICARE: DR. HASAN NOUBANI M.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	0101236665	VA
2	2080P0202X	Pediatric Cardiology Physician	L7078	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356392302
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HASAN NOUBANI M.D

Provider Business Mailing Address
First Line	:	2010 S CYNTHIA ST STE 102
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78503-1387
Country	:	US
Telephone Number	:	956-627-2330
Fax Number	:	956-627-2267

Provider Business Practice Location Address
First Line	:	2010 S CYNTHIA ST STE 102
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78503-1387
Country	:	US
Telephone Number	:	956-627-2330
Fax Number	:	956-627-2267

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/15/2006
Last Update Date	:	01/25/2023

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Directions to “ DR. HASAN NOUBANI M.D” Practice Location

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