Healthcare Provider Details

I. General information

NPI: 1184760332
Provider Name (Legal Business Name): NOOR GAJRAJ, MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 GALLAGHER DR
SHERMAN TX
75090-1713
US

IV. Provider business mailing address

4412 COLUMBIA RD STE 106
MARTINEZ GA
30907-4562
US

V. Phone/Fax

Practice location:
  • Phone: 903-870-7000
  • Fax: 903-870-7188
Mailing address:
  • Phone: 706-210-9990
  • Fax: 706-210-0771

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. NOOR M GAJRAJ
Title or Position: OWNER
Credential: M.D.
Phone: 706-210-9990