Provider Demographics
NPI:1366670440
Name:MATAOUI, NOHA (MD)
Entity Type:Individual
Prefix:DR
First Name:NOHA
Middle Name:
Last Name:MATAOUI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:400 HOSPITAL DR
Mailing Address - Street 2:SUITE 104
Mailing Address - City:CORSICANA
Mailing Address - State:TX
Mailing Address - Zip Code:75110-2489
Mailing Address - Country:US
Mailing Address - Phone:903-641-3848
Mailing Address - Fax:903-641-3847
Practice Address - Street 1:400 HOSPITAL DR
Practice Address - Street 2:SUITE 104
Practice Address - City:CORSICANA
Practice Address - State:TX
Practice Address - Zip Code:75110-2489
Practice Address - Country:US
Practice Address - Phone:903-641-3848
Practice Address - Fax:903-641-3847
Is Sole Proprietor?:No
Enumeration Date:2009-06-26
Last Update Date:2013-07-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXP4887207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine