MEDICARE: NOBLECARE CLINIC PLLC

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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1730940412
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NOBLECARE CLINIC PLLC

Provider Business Mailing Address
First Line	:	33471 BILTMORE DR
Second Line	:
City	:	TEMECULA
State	:	CA
Zip	:	92592-1849
Country	:	US
Telephone Number	:	530-305-7637
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 E SAINT JOHNS AVE STE 2620
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78752-2541
Country	:	US
Telephone Number	:	512-960-4098
Fax Number	:	737-910-2656

Authorized Official
Title or Position	:	CEO/FOUNDER
Name	:	JAMES KINGSLEY
Credential	:	MD
Telephone Number	:	512-960-4098

Provider Enumeration Date	:	01/19/2024
Last Update Date	:	01/19/2024

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