Provider Demographics
NPI:1497117154
Name:NOBLE, CYNTHIA ERONMWON (MPAS, PA-C)
Entity Type:Individual
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First Name:CYNTHIA
Middle Name:ERONMWON
Last Name:NOBLE
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Gender:F
Credentials:MPAS, PA-C
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Mailing Address - Street 1:6946 LEBANON RD
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-6741
Mailing Address - Country:US
Mailing Address - Phone:972-377-9987
Mailing Address - Fax:972-377-9906
Practice Address - Street 1:6946 LEBANON RD
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-6741
Practice Address - Country:US
Practice Address - Phone:972-377-9987
Practice Address - Fax:972-377-9906
Is Sole Proprietor?:No
Enumeration Date:2016-03-22
Last Update Date:2016-04-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXPA10371363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant