DataLabs

datalabs.health made in the usa

Contact us Sign in | Documentation |

divider

Medicare/Medicaid Verification Programs divider

divider

Medicare Verification Program divider

divider

1417946807

NPI Code Detail

MEDICARE: MARILYN NOBLE P.A.

MEDICARE: MARILYN NOBLE P.A.

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	363AM0700X	Medical Physician Assistant	PA00772	TX
2	363A00000X	Physician Assistant	PA00772	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	120455100	OTHER	TX	FIRSTCARE COMMERCIAL
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	86N729	OTHER	TX	BC/BS
5	52487	OTHER	NM	PRESBYTERIAN COMMERCIAL
6	J002	OTHER	TX	TRIWEST
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1417946807
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARILYN NOBLE P.A.

Provider Business Mailing Address
First Line	:	PO BOX 5865
Second Line	:
City	:	LUBBOCK
State	:	TX
Zip	:	79408-5865
Country	:	US
Telephone Number	:	806-743-2898
Fax Number	:	806-743-2787

Provider Business Practice Location Address
First Line	:	602 INDIANA AVE
Second Line	:
City	:	LUBBOCK
State	:	TX
Zip	:	79415-3364
Country	:	US
Telephone Number	:	806-775-8600
Fax Number	:	806-743-3148

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

Provider Enumeration Date	:	10/18/2005
Last Update Date	:	08/28/2024

Similar Medicare Providers

1871021030 — BELAAL SHEIKH MD
Practice Location Address:

602 INDIANA AVE
LUBBOCK, TX
79415-3364

Practice Phone: 806-775-8200
Practice Fax:

1003535733 — CASSIDY DIEDE AA
Practice Location Address:

602 INDIANA AVE
LUBBOCK, TX
79415-3364

Practice Phone: 806-743-2891
Practice Fax: 806-743-2984

1043707862 — TAREK SHIHAB MD
Practice Location Address:

602 INDIANA AVE
LUBBOCK, TX
79415-3364

Practice Phone: 806-743-9098
Practice Fax:

1487659876 — DR. MARK BRENDAN REEDY X MD
Practice Location Address:

602 INDIANA AVE
LUBBOCK, TX
79415-3364

Practice Phone: 806-775-8600
Practice Fax: 806-775-8586

1104815802 — NICHOLAS CYRIL DCUNHA MD
Practice Location Address:

602 INDIANA AVE
LUBBOCK, TX
79415-3364

Practice Phone: 806-775-8600
Practice Fax: 806-775-8602

1821087164 — LUBBOCK COUNTY HOSPITAL DISTRICT
Practice Location Address:

602 INDIANA AVE
LUBBOCK, TX
79415-3364

Practice Phone: 806-775-8200
Practice Fax: 806-472-6802

Directions to “ MARILYN NOBLE P.A.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.