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Individual

NABIA NOMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
100 MEDICAL PKWY, LAKEWAY, TX 78738-5621
(512) 571-5000
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-8800

Taxonomy

Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
R6639
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000676432
ANTHEM PROVIDER NUMBER
IN
05
200995390
IN
Enumeration date
07/08/2010
Last updated
01/07/2021
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