Provider Demographics
NPI:1518122357
Name:NOBLE HEALTH CARE INC
Entity Type:Organization
Organization Name:NOBLE HEALTH CARE INC
Other - Org Name:NOBLE HEALTH CARE, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/ADMINSTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-207-0996
Mailing Address - Street 1:10701 CORPORATE DR
Mailing Address - Street 2:SUITE 310
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-4096
Mailing Address - Country:US
Mailing Address - Phone:281-207-0996
Mailing Address - Fax:281-207-0997
Practice Address - Street 1:10701 CORPORATE DR
Practice Address - Street 2:SUITE 310
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-4096
Practice Address - Country:US
Practice Address - Phone:281-207-0996
Practice Address - Fax:281-207-0997
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-22
Last Update Date:2009-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261143336H0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
4551455OtherNCPDP PROVIDER IDENTIFICATION NUMBER