Healthcare Provider Details

I. General information

NPI: 1881020949
Provider Name (Legal Business Name): NOBILITY HEALTHCARE GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2013
Last Update Date: 09/20/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7952 DAVIS BLVD STE 101
NORTH RICHLAND HILLS TX
76182-6950
US

IV. Provider business mailing address

7952 DAVIS BLVD STE 101
NORTH RICHLAND HILLS TX
76182-6950
US

V. Phone/Fax

Practice location:
  • Phone: 817-729-4532
  • Fax: 888-841-9993
Mailing address:
  • Phone: 817-729-4532
  • Fax: 888-841-9993

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2084S0012X
TaxonomySleep Medicine (Psychiatry & Neurology) Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. DELIA ANN BRANDT
Title or Position: PARTNER
Credential: MBA C.E.O
Phone: 817-729-4532