Provider Demographics
NPI:1003922931
Name:NOE, CARL EDWARD (MD)
Entity Type:Individual
Prefix:
First Name:CARL
Middle Name:EDWARD
Last Name:NOE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 INWOOD RD
Mailing Address - Street 2:OUTPATIENT BUILDING WA 7.5
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75235-7202
Mailing Address - Country:US
Mailing Address - Phone:214-645-8450
Mailing Address - Fax:214-645-8451
Practice Address - Street 1:1801 INWOOD RD
Practice Address - Street 2:OUTPATIENT BUILDING WA 7.5
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75390-9189
Practice Address - Country:US
Practice Address - Phone:214-645-8450
Practice Address - Fax:214-645-8451
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2019-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG8318208VP0014X, 207LP2900X
TXD8318207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1226334-01Medicaid
00W191Medicare ID - Type Unspecified
TX1226334-01Medicaid