Provider Demographics
NPI:1710977343
Name:NOEL, JAMES MEREDITH (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:MEREDITH
Last Name:NOEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25603 MESA RNCH
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-4826
Mailing Address - Country:US
Mailing Address - Phone:210-704-2686
Mailing Address - Fax:210-704-2496
Practice Address - Street 1:333 N SANTA ROSA ST
Practice Address - Street 2:CHILDREN'S HOSPITAL OF SAN ANTONIO
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78207-3108
Practice Address - Country:US
Practice Address - Phone:210-704-2686
Practice Address - Fax:210-704-2496
Is Sole Proprietor?:No
Enumeration Date:2005-10-25
Last Update Date:2014-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP82872080P0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX332665401Medicaid