Healthcare Provider Details
I. General information
NPI: 1053223792
Provider Name (Legal Business Name): NOBLEBRIDGE MEDICAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
525 WOODLAND SQUARE BLVD STE 250
CONROE TX
77384-2212
US
IV. Provider business mailing address
21626 MESSARA CT
PORTER TX
77365-1159
US
V. Phone/Fax
- Phone: 336-965-4978
- Fax: 832-899-4913
- Phone: 336-965-4978
- Fax: 832-899-4913
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
NGOZI
LADOKUN
Title or Position: CEO/ OWNER
Credential: FNP-C
Phone: 336-965-4978