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NPI Code Detail

MEDICARE: ALICE NOUSSI

MEDICARE: ALICE NOUSSI
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
13747A0650XAttendant Care ProviderTX

General Provider Information

NPI Number : 1336788066
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALICE NOUSSI
Provider Business Mailing Address
First Line : 9901 RICHMOND AVE APT 527
Second Line :
City : HOUSTON
State : TX
Zip : 77042-4597
Country : US
Telephone Number : 760-577-1008
Fax Number :
Provider Business Practice Location Address
First Line : 5627 LAUREL CREEK WAY
Second Line :
City : HOUSTON
State : TX
Zip : 77017-6838
Country : US
Telephone Number : 832-374-9146
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2019
Last Update Date : 12/28/2019

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Directions to “ ALICE NOUSSI ” Practice Location

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