Individual
NOGGY DAVID JAEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1411 N BECKLEY AVE STE 370, DALLAS, TX 75203-1513
(214) 358-2300
(214) 579-6983
Mailing address
1505 LBJ FWY STE 700, DALLAS, TX 75234-6065
(214) 358-2300
(214) 579-6941
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP134217
TX
363LF0000X
Family Nurse Practitioner
AP134217
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP134217
LICENSE
TX
Enumeration date
08/15/2017
Last updated
06/06/2025
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