Provider Demographics
NPI:1346243789
Name:NOOJIN, JANE ANN (DC)
Entity Type:Individual
Prefix:DR
First Name:JANE
Middle Name:ANN
Last Name:NOOJIN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1006 TODVILLE
Mailing Address - Street 2:
Mailing Address - City:SEABROOK
Mailing Address - State:TX
Mailing Address - Zip Code:77586
Mailing Address - Country:US
Mailing Address - Phone:281-474-7796
Mailing Address - Fax:
Practice Address - Street 1:12609 N FEATHERWOOD DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77034-4412
Practice Address - Country:US
Practice Address - Phone:281-481-4492
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-31
Last Update Date:2007-07-08
Deactivation Date:2006-03-20
Deactivation Code:
Reactivation Date:2006-03-29
Provider Licenses
StateLicense IDTaxonomies
TXDC2649111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXT15169Medicare UPIN
TX600945Medicare ID - Type Unspecified