Individual
ADAM D. DENOBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1710 KELLER PKWY STE 2365, KELLER, TX 76248-3749
(817) 380-8630
Mailing address
1710 KELLER PKWY STE 2365, KELLER, TX 76248-3749
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
7011195
WI
207R00000X
Internal Medicine Physician
320416
NY
207R00000X
Internal Medicine Physician
81367-21
WI
208M00000X
Hospitalist Physician
320416
NY
208M00000X
Hospitalist Physician
Primary
81367-21
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972180735
—
WI
Enumeration date
03/26/2021
Last updated
02/04/2025
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