Provider Demographics
NPI:1659544294
Name:NOORHASAN, DORETTE (MD)
Entity Type:Individual
Prefix:DR
First Name:DORETTE
Middle Name:
Last Name:NOORHASAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5757 WARREN PKWY
Mailing Address - Street 2:SUITE 300
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-4274
Mailing Address - Country:US
Mailing Address - Phone:214-618-2044
Mailing Address - Fax:214-618-2045
Practice Address - Street 1:5757 WARREN PKWY
Practice Address - Street 2:SUITE 300
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-4274
Practice Address - Country:US
Practice Address - Phone:214-618-2044
Practice Address - Fax:214-618-2045
Is Sole Proprietor?:No
Enumeration Date:2008-04-03
Last Update Date:2012-06-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA08048200207VE0102X
TXP3398207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology