Provider Demographics
NPI:1881020949
Name:NOBILITY HEALTHCARE GROUP
Entity Type:Organization
Organization Name:NOBILITY HEALTHCARE GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DELIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BRANDT
Authorized Official - Suffix:
Authorized Official - Credentials:MBA CEO
Authorized Official - Phone:817-729-4532
Mailing Address - Street 1:7952 DAVIS BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:NORTH RICHLAND HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:76182-6950
Mailing Address - Country:US
Mailing Address - Phone:817-729-4532
Mailing Address - Fax:888-841-9993
Practice Address - Street 1:7952 DAVIS BLVD STE 101
Practice Address - Street 2:
Practice Address - City:NORTH RICHLAND HILLS
Practice Address - State:TX
Practice Address - Zip Code:76182-6950
Practice Address - Country:US
Practice Address - Phone:817-729-4532
Practice Address - Fax:888-841-9993
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NHG MSO CBO
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-09-20
Last Update Date:2013-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXK8745OtherSTATE LICENSE
TXN4890OtherSTATE LICENSE