Individual
TALIA JAYNE NOORILY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18707 HARDY OAK BLVD STE 101, SAN ANTONIO, TX 78258-4792
(210) 692-3000
(210) 692-3056
Mailing address
2455 DUNSTAN RD APT 423, HOUSTON, TX 77005-2307
(210) 289-4020
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
U5470
TX
Other
Enumeration date
04/04/2019
Last updated
08/23/2023
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