MEDICARE: LAILA NOORUDDIN A.P.N.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	712257	TX

General Provider Information

NPI Number	:	1063731941
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAILA NOORUDDIN A.P.N.

Provider Business Mailing Address
First Line	:	PO BOX 35629
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75235-0629
Country	:	US
Telephone Number	:	214-424-2213
Fax Number	:	214-231-2159

Provider Business Practice Location Address
First Line	:	7200 CAMBRIDGE ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-4202
Country	:	US
Telephone Number	:	713-798-1000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2010
Last Update Date	:	01/23/2026

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