Healthcare Provider Details

I. General information

NPI: 1023164050
Provider Name (Legal Business Name): DANA L NOBLE MSPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/25/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6702 W POLY WEBB RD
ARLINGTON TX
76016-3615
US

IV. Provider business mailing address

12637 PRINCE EDWARD LN
FRISCO TX
75034-2823
US

V. Phone/Fax

Practice location:
  • Phone: 817-478-0095
  • Fax:
Mailing address:
  • Phone: 817-721-5491
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1123347
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: