Provider Demographics
NPI:1710378310
Name:YAZDANIE, NOOR (MD)
Entity Type:Individual
Prefix:
First Name:NOOR
Middle Name:
Last Name:YAZDANIE
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 1:26077 NELSON WAY STE 1201
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-6698
Mailing Address - Country:US
Mailing Address - Phone:832-437-6531
Mailing Address - Fax:
Practice Address - Street 1:26077 NELSON WAY STE 1201
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-6698
Practice Address - Country:US
Practice Address - Phone:832-437-6531
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-18
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ9095207RE0101X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine