| Noble Primary Care Associates Pa | |
|
2205 Williams Trace Blvd Ste 107 Sugar Land TX 77478-4443 | |
| (281) 313-3900 | |
| (281) 313-3901 |
| Full Name | Noble Primary Care Associates Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 2205 Williams Trace Blvd Ste 107, Sugar Land, Texas |
| Authorized Official Name and Position | Amir Ali (PHYSICIAN) |
| Authorized Official Contact | 2813133900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Noble Primary Care Associates Pa 2205 Williams Trace Blvd Ste 107 Sugar Land TX 77478-4443 Ph: (281) 313-3900 | Noble Primary Care Associates Pa 2205 Williams Trace Blvd Ste 107 Sugar Land TX 77478-4443 Ph: (281) 313-3900 |
| NPI Number | 1861600249 |
|---|---|
| Provider Enumeration Date | 05/18/2007 |
| Last Update Date | 05/05/2020 |
| Medicare PECOS PAC ID | 9739126558 |
|---|---|
| Medicare Enrollment ID | O20050413000846 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861600249 | NPI | - | NPPES |
| 00423R | Other | TX | BLUE CROSS BLUE SHIELD |
| 145965301 | Medicaid | TX | |
| 145965303 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | K6796 (Texas) | Primary |
| Provider Name | Amir Ali |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1750482691 PECOS PAC ID: 8022092782 Enrollment ID: I20040617001770 |
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