Provider Demographics
NPI:1508141805
Name:DR NOORANI PA
Entity Type:Organization
Organization Name:DR NOORANI PA
Other - Org Name:ALLIANCE PAIN CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANIS
Authorized Official - Middle Name:R
Authorized Official - Last Name:NOORANI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:271-831-3388
Mailing Address - Street 1:4300 MACARTHUR AVE
Mailing Address - Street 2:STE 205
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75209-6524
Mailing Address - Country:US
Mailing Address - Phone:817-831-3388
Mailing Address - Fax:817-831-1541
Practice Address - Street 1:4300 MACARTHUR AVE
Practice Address - Street 2:STE 205
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75209-6524
Practice Address - Country:US
Practice Address - Phone:817-831-3388
Practice Address - Fax:817-831-1541
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-18
Last Update Date:2011-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10023111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty