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NPI Code Detail

MEDICARE: DR. DORETTE NOORHASAN M.D.

MEDICARE:  DR. DORETTE  NOORHASAN  M.D.
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
1207VE0102XReproductive Endocrinology Physician25MA08048200NJ
2207VE0102XReproductive Endocrinology PhysicianP3398TX

General Provider Information

NPI Number : 1659544294
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DORETTE NOORHASAN M.D.
Provider Business Mailing Address
First Line : 5757 WARREN PKWY
Second Line : SUITE 300
City : FRISCO
State : TX
Zip : 75034-4274
Country : US
Telephone Number : 214-618-2044
Fax Number : 214-618-2045
Provider Business Practice Location Address
First Line : 5757 WARREN PKWY
Second Line : SUITE 300
City : FRISCO
State : TX
Zip : 75034-4274
Country : US
Telephone Number : 214-618-2044
Fax Number : 214-618-2045
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2008
Last Update Date : 06/19/2012

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Directions to “ DR. DORETTE NOORHASAN M.D.” Practice Location

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