Organization
W. NOUBANI, PA MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WISSAM NOUBANI (OWNER)
(817) 472-7601
Entity
Organization
Contact information
Practice address
6407 S COOPER ST, 117, ARLINGTON, TX 76001-6795
(817) 472-7601
(817) 472-7213
Mailing address
6407 S COOPER ST, 117, ARLINGTON, TX 76001-6795
(817) 472-7601
(817) 472-7213
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA03902
TX
Other
Enumeration date
07/08/2009
Last updated
07/08/2009
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