Individual
TIMOTHY M. NOONAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
23923 CINCO RANCH BLVD, KATY, TX 77494-3399
(713) 486-7575
(281) 769-9942
Mailing address
6400 FANNIN ST STE 1700, HOUSTON, TX 77030-1526
(713) 486-7500
(713) 512-2234
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
L8867
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
194880402
—
TX
01
—
8DZ427
BLUE CROSS BLUE SHIELD
TX
Enumeration date
01/08/2007
Last updated
10/30/2018
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