MEDICARE: NOBLE CLINIC AND WEIGHT MANAGEMENT CENTER

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	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1720884091
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NOBLE CLINIC AND WEIGHT MANAGEMENT CENTER

Provider Business Mailing Address
First Line	:	6201 K AVE
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75074-2503
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6201 K AVE
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75074-2503
Country	:	US
Telephone Number	:	214-304-1731
Fax Number	:

Authorized Official
Title or Position	:	MEDICAL BILLER
Name	:	MRS. NORMA JOHNSON
Credential	:
Telephone Number	:	469-284-0838

Provider Enumeration Date	:	02/19/2025
Last Update Date	:	04/23/2025

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Directions to “NOBLE CLINIC AND WEIGHT MANAGEMENT CENTER ” Practice Location

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