Healthcare Provider Details

I. General information

NPI: 1689455032
Provider Name (Legal Business Name): NOURMDX LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2023
Last Update Date: 06/25/2025
Certification Date: 06/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 S CLARK RD STE D
DUNCANVILLE TX
75116-4234
US

IV. Provider business mailing address

310 S CLARK RD SUITE D
DUNCANVILLE TX
75116
US

V. Phone/Fax

Practice location:
  • Phone: 469-513-2700
  • Fax: 469-868-0467
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ELWALEED ELNOUR
Title or Position: PRESIDENT
Credential: MD
Phone: 720-692-5696