Noble, Marilyn
Noble, Marilyn is an individual health care provider with primary practice located at 602 Indiana Ave , Lubbock TX 79415-3364. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Noble, Marilyn can be contacted via phone (806) 775-8600.Contact Information
Primary practice address
602 Indiana Ave
Lubbock TX 79415-3364
Phone: (806) 775-8600
Fax: (806) 743-3148
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA00772 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA00772 | Texas |
Profile Details
| NPI number | 1417946807 |
|---|---|
| LBN Legal business name | Noble, Marilyn |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 18th, 2005 |
| Last updated | Aug 28th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417946807 | NPPES |
| Texas | Other | 120455100 | FIRSTCARE COMMERCIAL |
| Texas | MEDICAID | 120455101 | FIRSTCARE COMMERCIAL |
| Texas | MEDICAID | 52487 | FIRSTCARE COMMERCIAL |
| Texas | Other | 86N729 | FIRSTCARE COMMERCIAL |
| Texas | Other | 52487 | FIRSTCARE COMMERCIAL |
| Texas | Other | J002 | FIRSTCARE COMMERCIAL |
| Texas | MEDICAID | S8805 | FIRSTCARE COMMERCIAL |
| Texas | MEDICAID | 100721060A | FIRSTCARE COMMERCIAL |
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