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1396735122

NPI Code Detail

MEDICARE: CARL NOAH ISRAEL MD

MEDICARE: CARL NOAH ISRAEL MD

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	207RI0011X	Interventional Cardiology Physician	G2396	TX
2	207RC0000X	Cardiovascular Disease Physician	G2396	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	060002991	OTHER	TX	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	115919601	OTHER	TX	SMITH COUNTY INDIGENT
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	86K921	OTHER	TX	BCBS OF TEXAS

General Provider Information

NPI Number	:	1396735122
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARL NOAH ISRAEL MD

Provider Business Mailing Address
First Line	:	1783 TROUP HWY
Second Line	:
City	:	TYLER
State	:	TX
Zip	:	75701-5869
Country	:	US
Telephone Number	:	903-595-2283
Fax Number	:	903-595-1063

Provider Business Practice Location Address
First Line	:	1783 TROUP HWY
Second Line	:
City	:	TYLER
State	:	TX
Zip	:	75701-5869
Country	:	US
Telephone Number	:	903-595-2283
Fax Number	:	903-595-1063

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

Provider Enumeration Date	:	10/24/2005
Last Update Date	:	07/10/2024

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Directions to “ CARL NOAH ISRAEL MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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